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General NPI Number Information
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NPI Number | 1538102181
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Entity Type | Individual
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Provider Name | JENNIFER L. LATSON NP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 18951 N MEMORIAL DR
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City | HUMBLE
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State | TX
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Zip | 77338-4217
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Country | US
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Telephone | 281-540-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 18951 N MEMORIAL DR
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City | HUMBLE
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State | TX
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Zip | 77338-4217
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Country | US
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Telephone | 713-338-6565
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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 | APN7942
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP116310
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License Number State | TX
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