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General NPI Number Information
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NPI Number | 1437749116
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Entity Type | Individual
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Provider Name | JENNIFER GILMARTIN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 160 CYPRESS POINT PKWY STE D102
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City | PALM COAST
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State | FL
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Zip | 32164-8445
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Country | US
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Telephone | 386-230-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 W SAMMS AVE
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City | PORT ORANGE
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State | FL
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Zip | 32129-4168
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Country | US
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Telephone |
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Fax |
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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 | 11046424
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9554552
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License Number State | FL
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