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General NPI Number Information
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NPI Number | 1700163664
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Entity Type | Individual
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Provider Name | JENNIFER M NELSON RN ACNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 972-596-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 11324 BLANCHARD DR
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City | FRISCO
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State | TX
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Zip | 75035-3737
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Country | US
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Telephone | 214-478-4164
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 717808
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License Number State | TX
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