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Individual
JENNIFER L GAUZE
Active
Individual
JENNIFER L GAUZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471581
—
OH
05
—
7100593140
—
KY
01
—
K299882
MEDICARE PTAN
KY
01
—
K299883
MEDICARE PTAN
KY
Enumeration date
04/22/2019
Last updated
10/30/2023
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