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General NPI Number Information
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NPI Number | 1275312571
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Entity Type | Individual
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Provider Name | JENNIFER LEE APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 5505 BROADWAY BLVD STE B
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City | GARLAND
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State | TX
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Zip | 75043-3671
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Country | US
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Telephone | 214-703-6527
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Fax |
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Provider Business Mailing Address
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Address Line | 913 MYERS MEADOW DR
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City | GARLAND
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State | TX
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Zip | 75043-3712
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Country | US
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Telephone | 682-230-0662
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1137444
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1137444
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License Number State | TX
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