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General NPI Number Information
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NPI Number | 1063854768
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Entity Type | Individual
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Provider Name | JENNIFER M SIMPSON APRN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 24110 W DODGE RD
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City | WATERLOO
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State | NE
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Zip | 68069-4705
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Country | US
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Telephone | 402-297-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 SILVER ST
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City | ASHLAND
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State | NE
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Zip | 68003-1844
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Country | US
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Telephone | 402-277-0030
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 111548
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License Number State | NE
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