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NPI Code Detail

MEDICARE: GUZEL AIKOVNA JANSEN

MEDICARE: GUZEL AIKOVNA JANSEN
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 Practitioner5016351NC
2363LA2200XAdult Health Nurse Practitioner0024172004VA

General Provider Information

NPI Number : 1639574213
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUZEL AIKOVNA JANSEN
Provider Business Mailing Address
First Line : PO BOX 15109
Second Line :
City : WILMINGTON
State : NC
Zip : 28408-5109
Country : US
Telephone Number : 910-392-2525
Fax Number : 910-392-2827
Provider Business Practice Location Address
First Line : 1709 S 16TH ST STE A
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-6491
Country : US
Telephone Number : 910-452-8633
Fax Number : 910-452-8569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2014
Last Update Date : 12/09/2025

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Directions to “ GUZEL AIKOVNA JANSEN ” Practice Location

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