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Individual
MRS. JENNIFER ANNE DURWARD
Active
Individual
MRS. JENNIFER ANNE DURWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100480
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
27449
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740807502
—
MT
01
—
62308
ALLEGIANCE/CIGNA
MT
01
—
84137
INTERWEST
MT
01
—
87729
OPTUM
MT
01
—
892299098
BLUE CROSS BLUE SHEILD
MT
01
—
91131
FIRST CHOICE
MT
01
—
93029
PACIFIC SOURCE
MT
Enumeration date
05/25/2011
Last updated
09/02/2026
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