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General NPI Number Information
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NPI Number | 1730692476
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Entity Type | Individual
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Provider Name | JENNIFER MELICK CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1531 HUNT CLUB BLVD STE 320
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City | GALLATIN
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State | TN
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Zip | 37066-6098
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Country | US
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Telephone | 615-452-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 133 COBBLER CIR
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3963
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Country | US
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Telephone | 724-681-3019
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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 | 0024175504
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License Number State | VA
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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 | 30157
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License Number State | TN
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