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General NPI Number Information
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NPI Number | 1912188517
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Entity Type | Individual
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Provider Name | JEANNIE C MYERS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/25/2007
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | DR. HITZELBERGER-STRASSE
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City | LANDSTUHL
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State | RHINELAND-PALATINATE
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Zip | 66849
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Country | DE
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Telephone | 314-590-1209
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 10 BOX 1313
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City | APO
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State | AE
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Zip | 09142-0014
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Country | US
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Telephone | 314-590-1209
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024167591
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 0001248668
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License Number State | VA
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