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General NPI Number Information
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NPI Number | 1891222865
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Entity Type | Individual
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Provider Name | JILLIAN AMANDA HULSE APRN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 347 S LAURA AVE
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City | WICHITA
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State | KS
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Zip | 67211-1518
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Country | US
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Telephone | 316-686-7117
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Fax | 316-686-2679
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Provider Business Mailing Address
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Address Line | 347 S LAURA AVE
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City | WICHITA
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State | KS
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Zip | 67211-1518
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Country | US
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Telephone | 166-867-1173
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Fax | 316-686-2679
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-77622
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 77622
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License Number State | KS
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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 | 77622
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 77622
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License Number State | KS
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