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General NPI Number Information
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NPI Number | 1881239895
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Entity Type | Individual
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Provider Name | JENNA MARIE WEHNER APRN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1318 KANSAS DR
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City | PAOLA
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State | KS
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Zip | 66071-2107
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Country | US
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Telephone | 913-557-5678
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Fax | 913-557-5681
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Provider Business Mailing Address
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Address Line | 708 W MAIN ST
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City | GREENWOOD
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State | MO
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Zip | 64034-9100
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Country | US
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Telephone | 816-204-7371
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2020002335
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License Number State | MO
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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 | 53-79337
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License Number State | KS
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