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Individual
JESSICA E NEWELL
Active
Individual
JESSICA E NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21614
SC
363LP2300X
Primary Care Nurse Practitioner
21614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5251
—
SC
Enumeration date
02/09/2018
Last updated
11/10/2020
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