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1194259903 NPI number — ANDRESS L BURNEY APRN

NPI Number: 1194259903
Health Care Provider/Practitioner: ANDRESS L BURNEY APRN

Information about “1194259903” NPI (ANDRESS L BURNEY APRN) exists in 1194259903 in HTML format HTML  |  1194259903 in plain Text format TXT  |  1194259903 in PDF (Portable Document Format) PDF  |  1194259903 in an XML format XML  formats.

NPI Number : 1194259903 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194259903",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURNEY",
    "FirstName": "ANDRESS",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 102222",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30368-2222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-274-8200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1340 N HANCOCK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLERMONT",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34711-5952",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-394-1150",
    "PracticeLocationAddressFaxNumber": "352-394-1560",
    "EnumerationDate": "04/18/2017",
    "LastUpdateDate": "04/30/2025",
    "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": "APRN9304941",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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