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1023660578 NPI number — JAIME L MCMINN APRN-CNP

NPI Number: 1023660578
Health Care Provider/Practitioner: JAIME L MCMINN APRN-CNP

Information about “1023660578” NPI (JAIME L MCMINN APRN-CNP) exists in 1023660578 in HTML format HTML  |  1023660578 in plain Text format TXT  |  1023660578 in PDF (Portable Document Format) PDF  |  1023660578 in an XML format XML  formats.

NPI Number : 1023660578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023660578",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCMINN",
    "FirstName": "JAIME",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN-CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIPHAM",
    "OtherFirstName": "JAIME",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 722791",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORMAN",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73070-9118",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-310-3102",
    "MailingAddressFaxNumber": "405-310-6720",
    "FirstLinePracticeLocationAddress": "1215 CROSSROADS BLVD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORMAN",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73072-3359",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-310-2715",
    "PracticeLocationAddressFaxNumber": "405-310-6720",
    "EnumerationDate": "07/15/2019",
    "LastUpdateDate": "07/15/2019",
    "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": "82934",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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