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NPI 1700015989

NPI 1700015989 : JENNIFER R CURTIS CNP : KETTERING, OH

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General NPI Number Information
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    NPI Number           |    1700015989
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER R CURTIS CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2009
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    3120 GOVERNORS PLACE BLVD 
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    City                 |    KETTERING
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    State                |    OH
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    Zip                  |    45409-1328
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    Country              |    US
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    Telephone            |    937-293-1622
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    Fax                  |    937-245-6308
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Provider Business Mailing Address
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    Address Line         |    2020 STONEWATER DR 
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    City                 |    CENTERVILLE
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    State                |    OH
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    Zip                  |    45458-7516
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    Country              |    US
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    Telephone            |    937-344-6895
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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       |    18453
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    License Number State |    OH
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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       |    62949
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    License Number State |    WV
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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       |    APRN.CNP.18453
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    License Number State |    OH
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