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General NPI Number Information
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NPI Number | 1972027944
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Entity Type | Individual
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Provider Name | JENNIFER LYNNE RICHARDS DNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE RD
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City | TRIPLER ARMY MEDICAL CENTER
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 808-433-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 18518 LAHAINA LN
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City | CHARLOTTE
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State | NC
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Zip | 28278-7021
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Country | US
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Telephone | 321-626-0671
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 112374
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN5087
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License Number State | HI
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