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1063943595 NPI number — HOLLI JO WILKINS FNP-BC

NPI Number: 1063943595
Health Care Provider/Practitioner: HOLLI JO WILKINS FNP-BC

Information about “1063943595” NPI (HOLLI JO WILKINS FNP-BC) exists in 1063943595 in HTML format HTML  |  1063943595 in plain Text format TXT  |  1063943595 in PDF (Portable Document Format) PDF  |  1063943595 in an XML format XML  formats.

NPI Number : 1063943595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063943595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILKINS",
    "FirstName": "HOLLI",
    "MiddleName": "JO",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KNOX",
    "OtherFirstName": "HOLLI",
    "OtherMiddleName": "JO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2334 EMERALD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92109-3747",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-853-8998",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3020 CHILDRENS WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-4223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-966-5855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2017",
    "LastUpdateDate": "03/26/2017",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "NP95006302",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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