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General NPI Number Information
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NPI Number | 1467682450
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Entity Type | Individual
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Provider Name | JENNIFER A. STANLEY ARNP-BC, M.ED
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Gender | Female
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 1000
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City | NAPLES
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State | FL
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Zip | 34110-5738
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Country | US
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Telephone | 239-514-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9218633
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License Number State | FL
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