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General NPI Number Information
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NPI Number | 1033981550
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Entity Type | Individual
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Provider Name | JENNIFER ROESSLER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 2306 PINE RIDGE RD
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City | NAPLES
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State | FL
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Zip | 34109-2006
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Country | US
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Telephone | 239-213-3601
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 BEAR HOLLOW CIR
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City | FORT MYERS
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State | FL
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Zip | 33967-2554
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Country | US
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Telephone | 239-249-0794
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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 | 11029432
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License Number State | FL
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