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1154334217 NPI number — JENNIFER LYNNE NOWACZYK PA

NPI Number: 1154334217
Health Care Provider/Practitioner: JENNIFER LYNNE NOWACZYK PA

Information about “1154334217” NPI (JENNIFER LYNNE NOWACZYK PA) exists in 1154334217 in HTML format HTML  |  1154334217 in plain Text format TXT  |  1154334217 in PDF (Portable Document Format) PDF  |  1154334217 in an XML format XML  formats.

NPI Number : 1154334217 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154334217",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOWACZYK",
    "FirstName": "JENNIFER",
    "MiddleName": "LYNNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3883 CONNECTICUT AVE NW APT 518",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20008-4576",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3800 RESERVOIR RD NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20007-2113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-444-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2006",
    "LastUpdateDate": "03/12/2010",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA030429",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "0110002509",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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