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General NPI Number Information
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NPI Number | 1336643691
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Entity Type | Individual
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Provider Name | JENNIFER WHITNEY JENSEN APRN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 1010 N KANSAS ST STE 3054
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City | WICHITA
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State | KS
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Zip | 67214-3124
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Country | US
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Telephone | 316-293-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 2134 E RIVERA ST
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City | WICHITA
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State | KS
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Zip | 67211-3740
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Country | US
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Telephone | 316-993-2218
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 78127
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License Number State | KS
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