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General NPI Number Information
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NPI Number | 1992089627
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Entity Type | Individual
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Provider Name | GEETHA POWERS JACOB PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4800 WHITESPORT CIR SW STE 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6443
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Country | US
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Telephone | 256-533-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 WHITESBURG DR SW STE 30-222
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City | HUNTSVILLE
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State | AL
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Zip | 35802-1698
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Country | US
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Telephone | 954-297-5474
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-153016
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R883871
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95000043
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-153016
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License Number State | AL
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