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General NPI Number Information
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NPI Number | 1265088058
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Entity Type | Individual
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Provider Name | JENNIFER LEIGH MCHAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1867 REMOUNT RD
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City | GASTONIA
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State | NC
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Zip | 28054-7401
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Country | US
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Telephone | 704-865-3848
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Fax | 707-854-3086
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Provider Business Mailing Address
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Address Line | 1717 MAIN ST STE 5850
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City | DALLAS
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State | TX
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Zip | 75201-7317
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G177955
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC007912
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5012171
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15410
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704428015
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1761677
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11025849
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61524489
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1169581
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License Number State | TX
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