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1033629589 NPI number — JESSICA CRANE PHARMD

NPI Number: 1033629589
Health Care Provider/Practitioner: JESSICA CRANE PHARMD

Information about “1033629589” NPI (JESSICA CRANE PHARMD) exists in 1033629589 in HTML format HTML  |  1033629589 in plain Text format TXT  |  1033629589 in PDF (Portable Document Format) PDF  |  1033629589 in an XML format XML  formats.

NPI Number : 1033629589 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033629589",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRANE",
    "FirstName": "JESSICA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COLE",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "911 E ROLLINS ST.",
    "SecondLineMailingAddress": "ROOM 1207 MIZZOU PHARMACY",
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-884-4373",
    "MailingAddressFaxNumber": "573-882-4843",
    "FirstLinePracticeLocationAddress": "911 E ROLLINS ST.",
    "SecondLinePracticeLocationAddress": "ROOM 1207 MIZZOU PHARMACY",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-884-4373",
    "PracticeLocationAddressFaxNumber": "573-552-4843",
    "EnumerationDate": "10/10/2017",
    "LastUpdateDate": "10/10/2017",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "2016035857",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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