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General NPI Number Information
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NPI Number | 1952557522
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Entity Type | Individual
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Provider Name | JENNIFER STEPHANIE JENNINGS DNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 350 CENTRAL PARK WEST SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 646-666-0032
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Fax | 646-918-6283
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Provider Business Mailing Address
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Address Line | 808 COLUMBUS AVE APT. 17E
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 917-405-0775
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Fax | 616-918-6263
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11036066
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F4011421
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License Number State | NY
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