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General NPI Number Information
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NPI Number | 1831663905
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Entity Type | Individual
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Provider Name | JENNIFER WYRICK DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 115 SUNNYSIDE AVE STE A
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City | GRANGER
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State | WA
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Zip | 98932-9348
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Country | US
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Telephone | 509-865-6450
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Fax | 509-865-1401
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | TOPPENISH
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State | WA
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Zip | 98948-0190
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Country | US
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Telephone | 509-408-6298
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Fax | 509-865-0757
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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 | 25227
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License Number State | TN
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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 | 25227
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN0000025227
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61287424
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61287424
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222108
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License Number State | AK
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