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NPI Code Detail

MEDICARE: MISS JANSEN PRYOR HELM ACNP-BC

MEDICARE: MISS JANSEN PRYOR HELM ACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN-NP142576GA

General Provider Information

NPI Number : 1316957715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JANSEN PRYOR HELM ACNP-BC
Provider Business Mailing Address
First Line : PO BOX 1200
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-1200
Country : US
Telephone Number : 800-640-3451
Fax Number :
Provider Business Practice Location Address
First Line : 2480 WINDY HILL RD SE STE 405
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8658
Country : US
Telephone Number : 800-640-3451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 12/10/2025

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