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General NPI Number Information
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NPI Number | 1568405819
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Entity Type | Individual
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Provider Name | JANE ELAINE JACKNEWITZ-WOOLARD RN, DNP, CS, P/FNP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-8720
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Fax | 13-192-4203
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Provider Business Mailing Address
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Address Line | 13517 COACHLAMP LN
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City | SILVER SPRING
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State | MD
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Zip | 20906-5836
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Country | US
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Telephone | 301-460-5578
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Fax | 202-782-3850
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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 | R086221
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R086221
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R086221
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License Number State | MD
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