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General NPI Number Information
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NPI Number | 1376403535
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Entity Type | Individual
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Provider Name | JENNIFER LYNN CARLIN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 9100 NE 110TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64157-9598
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Country | US
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Telephone | 573-231-2535
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Fax | 573-231-2535
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Provider Business Mailing Address
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Address Line | 9100 NE 110TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64157-9598
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Country | US
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Telephone | 573-231-2535
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Fax | 573-231-2535
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025048833
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License Number State | MO
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