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General NPI Number Information
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NPI Number | 1811563968
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Entity Type | Individual
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Provider Name | JENNIFER LYNN PARKER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/31/2021
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 5350 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4562
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Country | US
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Telephone | 352-688-8116
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Fax | 352-686-9477
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Provider Business Mailing Address
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Address Line | 11904 PALM BAY CT
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-2052
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Country | US
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Telephone | 727-534-0667
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9380374
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License Number State | FL
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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 | APRN11013126
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License Number State | FL
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