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1104107473 NPI number — CARRIE A PARRISH NYEKAN APRN

NPI Number: 1104107473
Health Care Provider/Practitioner: CARRIE A PARRISH NYEKAN APRN

Information about “1104107473” NPI (CARRIE A PARRISH NYEKAN APRN) exists in 1104107473 in HTML format HTML  |  1104107473 in plain Text format TXT  |  1104107473 in PDF (Portable Document Format) PDF  |  1104107473 in an XML format XML  formats.

NPI Number : 1104107473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104107473",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARRISH NYEKAN",
    "FirstName": "CARRIE",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "201 PARK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOWLING GREEN",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42101-1759",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "270-780-5245",
    "MailingAddressFaxNumber": "270-780-0472",
    "FirstLinePracticeLocationAddress": "201 PARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOWLING GREEN",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42101-1759",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-780-5245",
    "PracticeLocationAddressFaxNumber": "270-780-0472",
    "EnumerationDate": "08/31/2011",
    "LastUpdateDate": "11/01/2019",
    "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": "71003742A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "3011861",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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