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Individual
JENNIFER MARTINA LANDRUM
Active
Individual
JENNIFER MARTINA LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
853083
NV
363LF0000X
Family Nurse Practitioner
240917
AZ
363LF0000X
Family Nurse Practitioner
F10181025
AL
Other
Enumeration date
01/03/2019
Last updated
09/09/2026
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