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1033517107 NPI number — JESSICA RAY D.C.

NPI Number: 1033517107
Health Care Provider/Practitioner: JESSICA RAY D.C.

Information about “1033517107” NPI (JESSICA RAY D.C.) exists in 1033517107 in HTML format HTML  |  1033517107 in plain Text format TXT  |  1033517107 in PDF (Portable Document Format) PDF  |  1033517107 in an XML format XML  formats.

NPI Number : 1033517107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033517107",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAY",
    "FirstName": "JESSICA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTIN",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.C.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "17236 N MAY AVE STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDMOND",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73012-9137",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-562-3199",
    "MailingAddressFaxNumber": "405-265-5280",
    "FirstLinePracticeLocationAddress": "17236 N MAY AVE STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDMOND",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73012-9137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-562-3199",
    "PracticeLocationAddressFaxNumber": "405-265-5280",
    "EnumerationDate": "12/05/2014",
    "LastUpdateDate": "11/14/2025",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "4296",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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