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General NPI Number Information
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NPI Number | 1801371042
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Entity Type | Individual
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Provider Name | CARLEY JENNIFER SHULMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 501 MORRIS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-1326
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Country | US
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Telephone | 304-388-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 845 SPRING ST NW UNIT 228
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City | ATLANTA
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State | GA
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Zip | 30308-1045
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Country | US
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Telephone | 617-513-7124
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 120867
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN238927
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License Number State | GA
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