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General NPI Number Information
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NPI Number | 1225266513
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Entity Type | Individual
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Provider Name | NANCY JEAN WYNN DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 5342 DUDLEY BLVD
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City | MCCLELLAN
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State | CA
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Zip | 95652-1012
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Country | US
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Telephone | 916-291-9742
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1522
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City | ROSEVILLE
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State | CA
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Zip | 95678-8522
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Country | US
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Telephone | 916-885-9998
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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 | 17861
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License Number State | CA
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