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General NPI Number Information
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NPI Number | 1265159305
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Entity Type | Individual
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Provider Name | JENNA MARIE COMSTOCK ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3250 PLAZA DR
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3144
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Country | US
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Telephone | 402-412-4220
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Fax | 402-494-1365
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Provider Business Mailing Address
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Address Line | 814 PIERCE ST STE 300
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City | SIOUX CITY
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State | IA
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Zip | 51101-1058
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Country | US
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Telephone | 712-226-2600
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Fax | 712-226-2605
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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 | 114470
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License Number State | NE
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