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1063252732 NPI number — JAMIE JARRETT

NPI Number: 1063252732
Health Care Provider/Practitioner: JAMIE JARRETT

Information about “1063252732” NPI (JAMIE JARRETT) exists in 1063252732 in HTML format HTML  |  1063252732 in plain Text format TXT  |  1063252732 in PDF (Portable Document Format) PDF  |  1063252732 in an XML format XML  formats.

NPI Number : 1063252732 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063252732",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JARRETT",
    "FirstName": "JAMIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JARRETT",
    "OtherFirstName": "JAMIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2720 S SANTA FE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDEPENDENCE",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64052-3229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-805-2436",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1133 W MAIN ST STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUE SPRINGS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64015-3648",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-730-5808",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2024",
    "LastUpdateDate": "12/18/2025",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "2023027153",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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