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General NPI Number Information
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NPI Number | 1326589292
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Entity Type | Individual
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Provider Name | JENESI GARDNER DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1540
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City | HOUSTON
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State | TX
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Zip | 77030-2783
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Country | US
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Telephone | 713-799-9997
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Fax | 713-799-2511
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Provider Business Mailing Address
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Address Line | 2305 CORYELL ST
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2765
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Country | US
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Telephone | 509-315-7400
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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 | AP133546
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP133546
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License Number State | TX
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