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General NPI Number Information
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NPI Number | 1770456469
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Entity Type | Individual
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Provider Name | JENNIFER SUSAN WEBSTER RN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1835 SAVOY DR STE 205
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City | ATLANTA
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State | GA
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Zip | 30341-1073
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Country | US
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Telephone | 770-496-9426
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Fax |
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Provider Business Mailing Address
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Address Line | 2468 BROOKCLIFF WAY NE
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City | ATLANTA
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State | GA
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Zip | 30345-2002
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Country | US
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Telephone | 770-496-9426
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | RN067358
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License Number State | GA
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