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General NPI Number Information
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NPI Number | 1376729921
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Entity Type | Individual
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Provider Name | JENNIFER GREGG MCINTYRE APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 5033 W HIGHWAY 290
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City | AUSTIN
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State | TX
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Zip | 78735-6751
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Country | US
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Telephone | 512-265-8980
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 E HILL DR
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City | AUSTIN
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State | TX
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Zip | 78731-4336
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Country | US
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Telephone | 678-833-6899
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Fax | 770-460-4045
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN211545
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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 | 53-83417-121
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2024030697
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11033589
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 36769
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29533
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024192009
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R857047
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License Number State | MS
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 879772
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14074980-4405
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License Number State | UT
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0102559
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License Number State | CO
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1070407
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License Number State | TX
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