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NPI Code Detail

MEDICARE: JENNIFER LYNN HARTSFIELD FNP-BC

MEDICARE:   JENNIFER LYNN HARTSFIELD  FNP-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 PractitionerARNP9227314FL
2363LF0000XFamily Nurse PractitionerAP8517AZ
3363LF0000XFamily Nurse PractitionerAPRN.CNP.0037419OH
4363LF0000XFamily Nurse Practitioner5020888NC

General Provider Information

NPI Number : 1326270505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN HARTSFIELD FNP-BC
Provider Business Mailing Address
First Line : 111 SW NAITO PKWY STE 200
Second Line :
City : PORTLAND
State : OR
Zip : 97204-3512
Country : US
Telephone Number : 888-288-4715
Fax Number : 833-260-2594
Provider Business Practice Location Address
First Line : 106 LANGTREE VILLAGE DR STE 301
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-7594
Country : US
Telephone Number : 888-288-4715
Fax Number : 833-260-2594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 02/17/2025

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Directions to “ JENNIFER LYNN HARTSFIELD FNP-BC” Practice Location

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