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General NPI Number Information
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NPI Number | 1699530089
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Entity Type | Individual
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Provider Name | MS. JANELLE MARIE NEGRON RIVERA
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Gender | Female
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1730 KERNERSVILLE MEDICAL PKWY STE 202
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City | KERNERSVILLE
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State | NC
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Zip | 27284-7198
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Country | US
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Telephone | 336-515-7336
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Fax | 336-515-7339
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 336-660-5290
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Fax | 336-660-5299
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 262349
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5020942
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License Number State | NC
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