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NPI 1336347962

NPI 1336347962 : JACQUELINE LYNNE ESTES-WERTZBERGER ARNP : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1336347962
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    Entity Type          |    Individual 
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    Provider Name        |    JACQUELINE LYNNE ESTES-WERTZBERGER ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2007
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    350 7TH ST N 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5754
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    Country              |    US
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    Telephone            |    239-623-4399
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    Fax                  |    239-624-8101
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Provider Business Mailing Address
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    Address Line         |    350 7TH ST N 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5754
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    Country              |    US
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    Telephone            |    239-624-3997
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    Fax                  |    239-624-8101
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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       |    ARNP9341077
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    License Number State |    FL
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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       |    71002346A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    ARNP9341077
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    License Number State |    FL
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