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General NPI Number Information
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NPI Number | 1710038989
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Entity Type | Individual
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Provider Name | JENNIFER LEE GERBER F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 104 HILLWOOD DR
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City | WAVERLY
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State | TN
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Zip | 37185-2116
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Country | US
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Telephone | 931-296-7052
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Fax | 931-296-3566
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | WAVERLY
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State | TN
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Zip | 37185-0270
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Country | US
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Telephone | 931-296-7052
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Fax | 931-296-3566
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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 | RN0000105859
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License Number State | TN
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