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General NPI Number Information
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NPI Number | 1548687676
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE JENKINS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 13701 BRUCE B DOWNS BLVD STE 106
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City | TAMPA
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State | FL
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Zip | 33613
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Country | US
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Telephone | 813-632-8861
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Fax | 813-977-1742
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Provider Business Mailing Address
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Address Line | 14750 NW 77TH CT STE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1507
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Country | US
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Telephone | 786-485-1005
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Fax | 786-441-2156
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | RN 9365577
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 28210108A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9365577
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License Number State | FL
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