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General NPI Number Information
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NPI Number | 1740601608
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Entity Type | Individual
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Provider Name | JENNIFER ANN HAAS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 13813 METRO PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912-4343
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Country | US
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Telephone | 239-938-1717
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Fax | 239-985-9634
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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Fax | 239-985-9637
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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 | APRN9378664
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License Number State | FL
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