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1144955139 NPI number — CLARE K TILLEY APRN

NPI Number: 1144955139
Health Care Provider/Practitioner: CLARE K TILLEY APRN

Information about “1144955139” NPI (CLARE K TILLEY APRN) exists in 1144955139 in HTML format HTML  |  1144955139 in plain Text format TXT  |  1144955139 in PDF (Portable Document Format) PDF  |  1144955139 in an XML format XML  formats.

NPI Number : 1144955139 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144955139",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TILLEY",
    "FirstName": "CLARE",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "CLARE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 251418",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72225-1418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-364-1100",
    "MailingAddressFaxNumber": "501-364-4082",
    "FirstLinePracticeLocationAddress": "1 CHILDRENS WAY FL 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72202-3500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-236-4945",
    "PracticeLocationAddressFaxNumber": "501-978-6440",
    "EnumerationDate": "07/22/2022",
    "LastUpdateDate": "08/31/2022",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "219150",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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