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General NPI Number Information
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NPI Number | 1356897565
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Entity Type | Individual
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Provider Name | JILLIAN C ARTIS CNM
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 17000 PORTER RD STE 206
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City | WINTER GARDEN
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State | FL
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Zip | 34787-8915
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Country | US
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Telephone | 407-635-3058
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Fax | 407-636-7826
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Provider Business Mailing Address
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Address Line | 17000 PORTER RD STE 206
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City | WINTER GARDEN
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State | FL
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Zip | 34787-8915
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Country | US
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Telephone | 407-635-3058
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Fax | 407-636-7826
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN9429052
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP9429052
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License Number State | FL
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