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Individual
JENNIFER A DORNBUSH
Active
Individual
JENNIFER A DORNBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017501
CA
363LF0000X
Family Nurse Practitioner
A141009
IA
363LF0000X
Family Nurse Practitioner
F342964
NY
Other
Enumeration date
07/29/2015
Last updated
10/14/2021
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