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General NPI Number Information
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NPI Number | 1447126370
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Entity Type | Individual
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Provider Name | CARLEY ANN JAHNKE APNP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 134 CORPORATE DR
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City | BEAVER DAM
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State | WI
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Zip | 53916-3116
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Country | US
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Telephone | 920-356-1000
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Fax | 920-356-0719
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Provider Business Mailing Address
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Address Line | 1515 PARK AVE
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City | COLUMBUS
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State | WI
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Zip | 53925-2402
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Country | US
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Telephone | 920-623-2200
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Fax | 192-062-3134
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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 | 17566-33
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License Number State | WI
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