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General NPI Number Information
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NPI Number | 1326270505
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Entity Type | Individual
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Provider Name | JENNIFER LYNN HARTSFIELD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 106 LANGTREE VILLAGE DR STE 301
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City | MOORESVILLE
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State | NC
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Zip | 28117-7594
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Country | US
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Telephone | 888-288-4715
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Fax | 833-260-2594
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Provider Business Mailing Address
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Address Line | 111 SW NAITO PKWY STE 200
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City | PORTLAND
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State | OR
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Zip | 97204-3512
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Country | US
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Telephone | 888-288-4715
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Fax | 833-260-2594
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9227314
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License Number State | FL
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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 | AP8517
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0037419
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020888
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License Number State | NC
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