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1144525940 NPI number — KERI ANN PAULK CRNA

NPI Number: 1144525940
Health Care Provider/Practitioner: KERI ANN PAULK CRNA

Information about “1144525940” NPI (KERI ANN PAULK CRNA) exists in 1144525940 in HTML format HTML  |  1144525940 in plain Text format TXT  |  1144525940 in PDF (Portable Document Format) PDF  |  1144525940 in an XML format XML  formats.

NPI Number : 1144525940 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144525940",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAULK",
    "FirstName": "KERI",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YANOVICH",
    "OtherFirstName": "KERI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "62 SUGAR CREEK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EASTMAN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31023-3784",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-646-1348",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "901 GRIFFIN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EASTMAN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31023-6720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "478-448-4020",
    "PracticeLocationAddressFaxNumber": "478-448-4020",
    "EnumerationDate": "01/26/2011",
    "LastUpdateDate": "02/15/2013",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "ARNP9236806",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "RN212553",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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