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General NPI Number Information
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NPI Number | 1346851235
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Entity Type | Individual
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Provider Name | JENNIFER JOHNSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 2720 STONE PARK BLVD # 335
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City | SIOUX CITY
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State | IA
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Zip | 51104-3734
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Country | US
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Telephone | 712-220-6634
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 PIERCE ST STE 414
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City | SIOUX CITY
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State | IA
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Zip | 51104-3755
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Country | US
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Telephone | 712-540-6987
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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 | 113228
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License Number State | NE
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