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1023432333 NPI number — SHELLEY M. MERRITT F.N.P.

NPI Number: 1023432333
Health Care Provider/Practitioner: SHELLEY M. MERRITT F.N.P.

Information about “1023432333” NPI (SHELLEY M. MERRITT F.N.P.) exists in 1023432333 in HTML format HTML  |  1023432333 in plain Text format TXT  |  1023432333 in PDF (Portable Document Format) PDF  |  1023432333 in an XML format XML  formats.

NPI Number : 1023432333 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023432333",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERRITT",
    "FirstName": "SHELLEY",
    "MiddleName": "M.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "F.N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAMBRAY",
    "OtherFirstName": "SHELLEY",
    "OtherMiddleName": "L.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "301 E PRICE AVE STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64485-2482",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-432-0006",
    "MailingAddressFaxNumber": "816-432-0008",
    "FirstLinePracticeLocationAddress": "301 E PRICE AVE STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAVANNAH",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64485-2482",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-432-0006",
    "PracticeLocationAddressFaxNumber": "816-432-0008",
    "EnumerationDate": "02/06/2014",
    "LastUpdateDate": "10/09/2024",
    "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": "2014003307",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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