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General NPI Number Information
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NPI Number | 1306582846
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Entity Type | Individual
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Provider Name | JENE' MARIE COON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 229 N ANDOVER RD STE 600B
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City | ANDOVER
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State | KS
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Zip | 67002-2004
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Country | US
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Telephone | 913-534-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 229 N ANDOVER RD STE 625
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City | ANDOVER
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State | KS
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Zip | 67002-9801
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Country | US
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Telephone | 913-534-4344
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 80504
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License Number State | KS
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