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Individual

JENNIFER L KUMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP141008
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
069192-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750704466
ME
05
3096141
NH
Enumeration date
01/31/2014
Last updated
04/29/2014
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