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1013569557 NPI number — JENNIFER LYNNE PANZARELLA FNP

NPI Number: 1013569557
Health Care Provider/Practitioner: JENNIFER LYNNE PANZARELLA FNP

Information about “1013569557” NPI (JENNIFER LYNNE PANZARELLA FNP) exists in 1013569557 in HTML format HTML  |  1013569557 in plain Text format TXT  |  1013569557 in PDF (Portable Document Format) PDF  |  1013569557 in an XML format XML  formats.

NPI Number : 1013569557 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013569557",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANZARELLA",
    "FirstName": "JENNIFER",
    "MiddleName": "LYNNE",
    "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": "16 PINE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOPERSTOWN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13326-1021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "607-547-5243",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 FOXCARE DR STE 308",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONEONTA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13820-2086",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-431-5555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2019",
    "LastUpdateDate": "10/17/2019",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F344501-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "F344501-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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