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General NPI Number Information
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NPI Number | 1437863446
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Entity Type | Individual
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Provider Name | JORDYN ANNE WITKINS RN, DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1275 SUMMER ST STE 306
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City | STAMFORD
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State | CT
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Zip | 06905-5315
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Country | US
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Telephone | 203-978-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 718 SPORT HILL RD
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City | EASTON
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State | CT
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Zip | 06612-1430
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Country | US
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Telephone | 203-450-5315
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2025034024
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License Number State | CT
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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 | 171707
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License Number State | CT
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