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General NPI Number Information
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NPI Number | 1922806033
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Entity Type | Individual
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Provider Name | JENNIFER AMY ANDERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD STE 1115
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City | NAPLES
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State | FL
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Zip | 34110-5742
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Country | US
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Telephone | 239-597-4440
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Fax | 239-597-4441
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Provider Business Mailing Address
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Address Line | 20072 HEATHERSTONE WAY UNIT 1
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City | ESTERO
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State | FL
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Zip | 33928-3099
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Country | US
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Telephone | 716-740-6957
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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 | RN9323208
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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 | APRN11039705
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11039705
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License Number State | FL
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