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1073342028 NPI number — WHITNEY D LYERLY WILSON DNP

NPI Number: 1073342028
Health Care Provider/Practitioner: WHITNEY D LYERLY WILSON DNP

Information about “1073342028” NPI (WHITNEY D LYERLY WILSON DNP) exists in 1073342028 in HTML format HTML  |  1073342028 in plain Text format TXT  |  1073342028 in PDF (Portable Document Format) PDF  |  1073342028 in an XML format XML  formats.

NPI Number : 1073342028 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073342028",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYERLY WILSON",
    "FirstName": "WHITNEY",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LYERLY",
    "OtherFirstName": "WHITNEY",
    "OtherMiddleName": "D",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "104 WELLS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29646-3837",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-725-4673",
    "MailingAddressFaxNumber": "864-725-7424",
    "FirstLinePracticeLocationAddress": "1015 SPRING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWOOD",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29646-3831",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-227-6741",
    "PracticeLocationAddressFaxNumber": "864-227-6021",
    "EnumerationDate": "07/29/2024",
    "LastUpdateDate": "08/06/2024",
    "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": "29109",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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