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General NPI Number Information
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NPI Number | 1396831608
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Entity Type | Individual
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Provider Name | JENNIFER M WELLMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1 TIMBERWOLF DRIVE
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City | HUNTINGTON
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State | WV
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Zip | 25704
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Country | US
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Telephone | 304-429-1764
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Fax | 304-429-1746
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | HUNTINGTON
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State | WV
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Zip | 25717
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Country | US
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Telephone | 304-697-1396
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Fax | 304-697-2086
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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 | NP-07422
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3488P
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License Number State | KY
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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 | 50871
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License Number State | WV
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