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General NPI Number Information
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NPI Number | 1407371388
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Entity Type | Individual
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Provider Name | DEBRA LEE JENKINS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 220 GILBERT ST STE 2400
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City | BLACKSBURG
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State | VA
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Zip | 24060-3306
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Country | US
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Telephone | 540-231-6557
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Fax | 540-231-9660
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Provider Business Mailing Address
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Address Line | 220 GILBERT ST STE 2400
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City | BLACKSBURG
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State | VA
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Zip | 24060-3306
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Country | US
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Telephone | 540-231-6557
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Fax | 540-231-9660
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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 | 0024175274
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License Number State | VA
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