NPI Code Detail JSON Logo

1003792011 NPI number — LEANNA MICHELLE PHILLIPS NP

NPI Number: 1003792011
Health Care Provider/Practitioner: LEANNA MICHELLE PHILLIPS NP

Information about “1003792011” NPI (LEANNA MICHELLE PHILLIPS NP) exists in 1003792011 in HTML format HTML  |  1003792011 in plain Text format TXT  |  1003792011 in PDF (Portable Document Format) PDF  |  1003792011 in an XML format XML  formats.

NPI Number : 1003792011 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003792011",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHILLIPS",
    "FirstName": "LEANNA",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9991 BANKSTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DORA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35062-1724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-639-4883",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3400 HIGHWAY 78 E STE 321",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JASPER",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35501-8951",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-226-5900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2025",
    "LastUpdateDate": "08/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "1-137809",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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