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General NPI Number Information
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NPI Number | 1306682927
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Entity Type | Individual
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Provider Name | JENNIFER PIERRE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2024
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 8680 RACHEL FREEMAN WAY
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City | CHARLOTTE
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State | NC
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Zip | 28278-9567
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Country | US
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Telephone | 980-890-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 8726 DARCY HOPKINS DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-0285
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Country | US
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Telephone | 757-376-3930
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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 | 2023129294
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License Number State | NC
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