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Individual
JENNIFER DYAN ERKENBECK
Active
Individual
JENNIFER DYAN ERKENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200841526RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
201509500NP-PP
OR
Other
Enumeration date
12/18/2015
Last updated
01/26/2016
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