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General NPI Number Information
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NPI Number | 1083273932
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Entity Type | Individual
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Provider Name | JENNIFER K WU APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 200 N BRYANT AVE STE 120
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City | EDMOND
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State | OK
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Zip | 73034-6273
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Country | US
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Telephone | 405-832-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N. BRYANT AVE. STE 120
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City | EDMOND
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State | OK
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Zip | 73034-6273
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Country | US
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Telephone | 405-832-6881
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Fax | 833-941-1685
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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 | 109849
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 109849
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License Number State | OK
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