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1194609081 NPI number — KRISTEN SHEA HOWARD PHARMD

NPI Number: 1194609081
Health Care Provider/Practitioner: KRISTEN SHEA HOWARD PHARMD

Information about “1194609081” NPI (KRISTEN SHEA HOWARD PHARMD) exists in 1194609081 in HTML format HTML  |  1194609081 in plain Text format TXT  |  1194609081 in PDF (Portable Document Format) PDF  |  1194609081 in an XML format XML  formats.

NPI Number : 1194609081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194609081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOWARD",
    "FirstName": "KRISTEN",
    "MiddleName": "SHEA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAMP",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": "SHEA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "148 N MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIGHTON",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38011-4225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-258-2347",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 LANNY BRIDGES AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINGTON",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38019-1615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-476-4648",
    "PracticeLocationAddressFaxNumber": "901-476-3275",
    "EnumerationDate": "08/04/2025",
    "LastUpdateDate": "08/04/2025",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PD17443",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "48865",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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