{
"Npi": {
"NPI": "1154733392",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BREWER",
"FirstName": "JAMIE",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1697",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLORENCE",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39073-1697",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-891-8657",
"MailingAddressFaxNumber": "949-561-5551",
"FirstLinePracticeLocationAddress": "2785 HIGHWAY 49 S STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLORENCE",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39073-9411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-832-2616",
"PracticeLocationAddressFaxNumber": "949-561-5551",
"EnumerationDate": "05/22/2014",
"LastUpdateDate": "02/21/2024",
"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": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": "R891185",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "R891185",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}