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1013457969 NPI number — KORI RAEANN WILLIAMS FNP

NPI Number: 1013457969
Health Care Provider/Practitioner: KORI RAEANN WILLIAMS FNP

Information about “1013457969” NPI (KORI RAEANN WILLIAMS FNP) exists in 1013457969 in HTML format HTML  |  1013457969 in plain Text format TXT  |  1013457969 in PDF (Portable Document Format) PDF  |  1013457969 in an XML format XML  formats.

NPI Number : 1013457969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013457969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "KORI",
    "MiddleName": "RAEANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5900 WOODBRIDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAKERSFIELD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93306-7035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-428-7456",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8307 BRIMHALL RD",
    "SecondLinePracticeLocationAddress": "STE 1707",
    "PracticeLocationAddressCityName": "BAKERSFIELD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93312-2251",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-587-8990",
    "PracticeLocationAddressFaxNumber": "661-587-8980",
    "EnumerationDate": "02/26/2017",
    "LastUpdateDate": "05/14/2019",
    "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": "363LP2300X",
        "TaxonomyName": "Primary Care Nurse Practitioner",
        "LicenseNumber": "95004591",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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