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General NPI Number Information
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NPI Number | 1679119366
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE ROMINE CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 106 HOSPITAL DR STE 6
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City | CHATSWORTH
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State | GA
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Zip | 30705-2070
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Country | US
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Telephone | 706-517-6206
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Fax | 706-695-4831
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Provider Business Mailing Address
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Address Line | PO BOX 12938 C/O CLINIC MANAGEMENT
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City | CALHOUN
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State | GA
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Zip | 30703
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Country | US
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Telephone | 706-602-7800
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN-NP284826
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN-NP284826
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License Number State | GA
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