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1104310721 NPI number — HALI GRAHAM MCDONALD MSN, APRN, FNP-C

NPI Number: 1104310721
Health Care Provider/Practitioner: HALI GRAHAM MCDONALD MSN, APRN, FNP-C

Information about “1104310721” NPI (HALI GRAHAM MCDONALD MSN, APRN, FNP-C) exists in 1104310721 in HTML format HTML  |  1104310721 in plain Text format TXT  |  1104310721 in PDF (Portable Document Format) PDF  |  1104310721 in an XML format XML  formats.

NPI Number : 1104310721 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104310721",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDONALD",
    "FirstName": "HALI",
    "MiddleName": "GRAHAM",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSN, APRN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCDONALD",
    "OtherFirstName": "HALI",
    "OtherMiddleName": "JOELLE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "BSN, RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5410 HIGHWAY 280",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35242-6501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-512-2361",
    "MailingAddressFaxNumber": "205-278-7660",
    "FirstLinePracticeLocationAddress": "5410 HIGHWAY 280",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35242-6501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-512-2361",
    "PracticeLocationAddressFaxNumber": "205-278-7660",
    "EnumerationDate": "06/18/2018",
    "LastUpdateDate": "06/18/2018",
    "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": "1-130912",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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