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1033307780 NPI number — JUSTINE HOLLE MORGAN CFNP

NPI Number: 1033307780
Health Care Provider/Practitioner: JUSTINE HOLLE MORGAN CFNP

Information about “1033307780” NPI (JUSTINE HOLLE MORGAN CFNP) exists in 1033307780 in HTML format HTML  |  1033307780 in plain Text format TXT  |  1033307780 in PDF (Portable Document Format) PDF  |  1033307780 in an XML format XML  formats.

NPI Number : 1033307780 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033307780",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORGAN",
    "FirstName": "JUSTINE",
    "MiddleName": "HOLLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CFNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAMMERMAN",
    "OtherFirstName": "JUSTINE",
    "OtherMiddleName": "HOLLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CFNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 19678",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62794-9678",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-545-7377",
    "MailingAddressFaxNumber": "217-545-7021",
    "FirstLinePracticeLocationAddress": "415 N 9TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 2W106",
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-545-7377",
    "PracticeLocationAddressFaxNumber": "217-545-7021",
    "EnumerationDate": "10/09/2007",
    "LastUpdateDate": "12/08/2020",
    "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": "209-006692",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "364SX0204X",
          "TaxonomyName": "Pediatric Oncology Clinical Nurse Specialist",
          "LicenseNumber": "209-006692",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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