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Individual
JENIFER SHANON CONN
Active
Individual
JENIFER SHANON CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
N32302
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
60035
ID
Other
Enumeration date
10/19/2010
Last updated
07/03/2019
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