NPI Code Detail JSON Logo

1164191599 NPI number — JESSICA HANG NP-C

NPI Number: 1164191599
Health Care Provider/Practitioner: JESSICA HANG NP-C

Information about “1164191599” NPI (JESSICA HANG NP-C) exists in 1164191599 in HTML format HTML  |  1164191599 in plain Text format TXT  |  1164191599 in PDF (Portable Document Format) PDF  |  1164191599 in an XML format XML  formats.

NPI Number : 1164191599 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164191599",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANG",
    "FirstName": "JESSICA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUENTERT",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 ST MARYS EPWORTH XING # B100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWBURGH",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47630-9497",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 ST MARYS EPWORTH XING # B100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWBURGH",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47630-9497",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "812-853-9651",
    "PracticeLocationAddressFaxNumber": "812-853-9899",
    "EnumerationDate": "09/09/2021",
    "LastUpdateDate": "10/05/2022",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "71011546A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.