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General NPI Number Information
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NPI Number | 1700699725
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Entity Type | Individual
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Provider Name | JENNY LYNN TERRY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2326 18TH ST STE 210
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City | COLUMBUS
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State | IN
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Zip | 47201-5362
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Country | US
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Telephone | 812-372-8680
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Fax |
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Provider Business Mailing Address
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Address Line | 10483 N COUNTY ROAD 750 W
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City | FREETOWN
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State | IN
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Zip | 47235-9751
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Country | US
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Telephone | 812-528-1236
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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 | 71016264A
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License Number State | IN
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