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1083705388 NPI number — ERNICE LASHETTE ROGERS ANP

NPI Number: 1083705388
Health Care Provider/Practitioner: ERNICE LASHETTE ROGERS ANP

Information about “1083705388” NPI (ERNICE LASHETTE ROGERS ANP) exists in 1083705388 in HTML format HTML  |  1083705388 in plain Text format TXT  |  1083705388 in PDF (Portable Document Format) PDF  |  1083705388 in an XML format XML  formats.

NPI Number : 1083705388 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083705388",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGERS",
    "FirstName": "ERNICE",
    "MiddleName": "LASHETTE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ANP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2306 RIKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PINE BLUFF",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "71603-3933",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-535-2142",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2306 RIKE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PINE BLUFF",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "71603-3933",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-535-2142",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "02/21/2013",
    "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": "363LW0102X",
        "TaxonomyName": "Women's Health Nurse Practitioner",
        "LicenseNumber": "A01761 ANP",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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