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General NPI Number Information
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NPI Number | 1982404281
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Entity Type | Individual
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Provider Name | JENNIFER LYNN TRIESKEY RN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 04/19/2026
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Provider Practice Location Address
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Address Line | 302 W GRAHAM ST
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City | MEBANE
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State | NC
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Zip | 27302-2312
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Country | US
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Telephone | 919-568-0004
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Fax | 919-355-9032
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Provider Business Mailing Address
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Address Line | 630 ROXBORO ST
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City | HAW RIVER
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State | NC
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Zip | 27258-9631
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Country | US
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Telephone | 919-428-4465
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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 | 5023992
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License Number State | NC
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