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General NPI Number Information
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NPI Number | 1487462347
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Entity Type | Individual
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Provider Name | JENISA KRAMER FNP
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Gender | Female
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 149 PLANTATION RIDGE DR STE 190
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City | MOORESVILLE
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State | NC
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Zip | 28117-9178
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Country | US
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Telephone | 800-809-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 5833 CIRCLEWOOD DR
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City | KANNAPOLIS
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State | NC
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Zip | 28081-8736
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Country | US
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Telephone | 585-808-2346
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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 | F08240966
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License Number State | NC
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