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General NPI Number Information
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NPI Number | 1336910538
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Entity Type | Individual
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Provider Name | JENNIFER LEE HASKINS RN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2615 N MONROE ST STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4027
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Country | US
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Telephone | 850-558-6126
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 1ST AVE N UNIT 3
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City | BIRMINGHAM
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State | AL
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Zip | 35203-1866
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Country | US
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Telephone | 205-545-5088
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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 | GAA-NP004117
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License Number State | GA
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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 | APRN11042341
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License Number State | FL
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