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1023319936 NPI number — KISHA L KNIGHT FNP-BC

NPI Number: 1023319936
Health Care Provider/Practitioner: KISHA L KNIGHT FNP-BC

Information about “1023319936” NPI (KISHA L KNIGHT FNP-BC) exists in 1023319936 in HTML format HTML  |  1023319936 in plain Text format TXT  |  1023319936 in PDF (Portable Document Format) PDF  |  1023319936 in an XML format XML  formats.

NPI Number : 1023319936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023319936",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNIGHT",
    "FirstName": "KISHA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALLER",
    "OtherFirstName": "KISHA",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 1729",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HATTIESBURG",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39403-1729",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-545-3700",
    "MailingAddressFaxNumber": "601-450-2493",
    "FirstLinePracticeLocationAddress": "404 LILLIE BURNEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HATTIESBURG",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39401-5505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-450-6500",
    "PracticeLocationAddressFaxNumber": "601-450-6503",
    "EnumerationDate": "11/09/2010",
    "LastUpdateDate": "04/01/2014",
    "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": "R863895",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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