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General NPI Number Information
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NPI Number | 1043749245
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Entity Type | Individual
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Provider Name | SHAUNA EMBLER JARRETT DNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 291 BROAD ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2932
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Country | US
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Telephone | 336-993-8181
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Fax | 336-996-9538
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Provider Business Mailing Address
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Address Line | PO BOX 75216
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City | CHARLOTTE
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State | NC
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Zip | 28275-0216
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Country | US
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Telephone | 704-384-7834
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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 | 5009556
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5009556
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License Number State | NC
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