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NPI 1982256772

NPI 1982256772 : ZACHARY HOUSTON JENKINS AG-ACNP : SAVANNAH, GA

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General NPI Number Information
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    NPI Number           |    1982256772
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY HOUSTON JENKINS AG-ACNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2019
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    Last Update Date     |    02/14/2023
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Provider Practice Location Address
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    Address Line         |    6301 ABERCORN ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-5701
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    Country              |    US
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    Telephone            |    912-352-8700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4000 MERIDIAN BLVD 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-6325
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    Country              |    US
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    Telephone            |    615-465-7000
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    RN232002
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    RN232002
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    License Number State |    GA
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