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General NPI Number Information
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NPI Number | 1720793052
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Entity Type | Individual
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Provider Name | JENNIFER M GUDGEL APRN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1285 FRANCISCAN DR
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City | LITCHFIELD
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State | IL
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Zip | 62056-1778
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Country | US
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Telephone | 217-324-6127
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Fax | 217-324-5959
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Provider Business Mailing Address
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Address Line | 901 W MORTON AVE STE 22
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City | JACKSONVILLE
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State | IL
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Zip | 62650-4021
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Country | US
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Telephone | 217-588-6140
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Fax | 217-588-3043
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041393189
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License Number State | IL
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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 | 209026802
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License Number State | IL
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