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General NPI Number Information
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NPI Number | 1659918753
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Entity Type | Individual
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Provider Name | JENNA JO BEHLAR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2019
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 4910 HIGHWAY 22
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City | MANDEVILLE
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State | LA
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Zip | 70471
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Country | US
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Telephone | 985-778-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 HIGHWAY 22
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City | MANDEVILLE
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State | LA
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Zip | 70471-2813
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Country | US
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Telephone | 985-778-0788
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN.1637012
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0995256-NP
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License Number State | CO
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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 | 213925
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License Number State | LA
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