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General NPI Number Information
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NPI Number | 1992565246
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Entity Type | Individual
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Provider Name | JENNIFER JILL STONE APRN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 7926 S CHADBOURNE DR # B
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-5809
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Country | US
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Telephone | 603-545-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 7926 S CHADBOURNE DR # B
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-5809
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Country | US
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Telephone | 603-545-4844
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13410138-4405
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License Number State | UT
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