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1013335470 NPI number — JENNIFER COFFEY GILL MD

NPI Number: 1013335470
Health Care Provider/Practitioner: JENNIFER COFFEY GILL MD

Information about “1013335470” NPI (JENNIFER COFFEY GILL MD) exists in 1013335470 in HTML format HTML  |  1013335470 in plain Text format TXT  |  1013335470 in PDF (Portable Document Format) PDF  |  1013335470 in an XML format XML  formats.

NPI Number : 1013335470 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013335470",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILL",
    "FirstName": "JENNIFER",
    "MiddleName": "COFFEY",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COFFEY GILL",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6100 PAN AMERICAN FREEWAY NE STE 450",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-823-8787",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "PRESBYTERIAN HEALTHCARE SERVICES",
    "SecondLinePracticeLocationAddress": "6100 PAN AMERICAN FREEWAY STE 450",
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87109-3460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-823-8787",
    "PracticeLocationAddressFaxNumber": "505-792-1978",
    "EnumerationDate": "04/02/2014",
    "LastUpdateDate": "10/05/2021",
    "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": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "MD2018-0691",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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