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Individual

JENNIFER CATHERINE FLY

Active
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Individual

JENNIFER CATHERINE FLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN APRN CPNP-AC

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
191938
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
34992
TN

Other

Enumeration date
09/26/2023
Last updated
12/01/2023
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