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General NPI Number Information
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NPI Number | 1689583957
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Entity Type | Individual
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Provider Name | JESSICA RENEE ENZOR FNP, CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 586 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-3805
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Country | US
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Telephone | 410-822-2724
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Fax | 410-822-5376
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Provider Business Mailing Address
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Address Line | 3832 MARGITS LN
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City | TRAPPE
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State | MD
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Zip | 21673-1906
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R237407
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License Number State | MD
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