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General NPI Number Information
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NPI Number | 1992694897
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Entity Type | Individual
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Provider Name | JENNIFER NOELLE COMMINS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1095 MARSHALL WAY STE 100
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City | PLACERVILLE
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State | CA
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Zip | 95667-5722
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Country | US
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Telephone | 530-626-2920
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Fax |
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Provider Business Mailing Address
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Address Line | 11130 ALTA MESA RD
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City | WILTON
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State | CA
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Zip | 95693-8564
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Country | US
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Telephone | 916-607-5649
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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 | 95035893
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License Number State | CA
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