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General NPI Number Information
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NPI Number | 1659733665
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Entity Type | Individual
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Provider Name | ALISON C JENNINGS AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 623 W NEWPORT PIKE
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City | WILMINGTON
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State | DE
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Zip | 19804-3235
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Country | US
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Telephone | 302-777-5473
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Fax |
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Provider Business Mailing Address
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Address Line | 244 5TH AVE SUITE J253
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 631-213-1717
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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 | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 524597
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 307761
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License Number State | NY
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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 | LP-0010533
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License Number State | DE
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