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General NPI Number Information
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NPI Number | 1154054112
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE MCNEIL FNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37919-4049
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Country | US
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Telephone | 513-808-5510
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Fax | 513-880-0521
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Provider Business Mailing Address
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Address Line | 6730 ROOSEVELT AVE STE 303
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City | MIDDLETOWN
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State | OH
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Zip | 45005-0017
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Country | US
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Telephone | 513-874-0486
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Fax | 513-806-2249
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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 | APRN.CNP.0031652
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.426534
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License Number State | OH
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