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1194662999 NPI number — JESSICA REASONONVER HOLLER LADC II

NPI Number: 1194662999
Health Care Provider/Practitioner: JESSICA REASONONVER HOLLER LADC II

Information about “1194662999” NPI (JESSICA REASONONVER HOLLER LADC II) exists in 1194662999 in HTML format HTML  |  1194662999 in plain Text format TXT  |  1194662999 in PDF (Portable Document Format) PDF  |  1194662999 in an XML format XML  formats.

NPI Number : 1194662999 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194662999",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLLER",
    "FirstName": "JESSICA",
    "MiddleName": "REASONONVER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LADC II",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REASONOVER",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "ASHLIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LADC II",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4959 SULPHUR CREEK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37218-3516",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "629-333-9081",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5511 VIRGINIA WAY STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRENTWOOD",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37027-7611",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-994-1000",
    "PracticeLocationAddressFaxNumber": "615-994-0100",
    "EnumerationDate": "04/30/2026",
    "LastUpdateDate": "04/30/2026",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "1855",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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