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General NPI Number Information
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NPI Number | 1053788752
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Entity Type | Individual
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Provider Name | JAMIE C JENNINGS CPNP-AC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3149 BOBCAT VILLAGE RD 3149 BOBCAT VILLAGE RD
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City | NORTH PORT
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State | FL
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Zip | 34288
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Country | US
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Telephone | 727-767-4741
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Fax | 727-767-2596
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Provider Business Mailing Address
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Address Line | 3149 BOBCAT VILLAGE RD
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City | NORTH PORT
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State | FL
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Zip | 34288
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Country | US
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Telephone | 941-266-5629
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.17926
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | APRN.CNP.17926
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | APRN11006919
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License Number State | FL
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