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1205370178 NPI number — BEVERLY C SAINT-AMAND NP-C

NPI Number: 1205370178
Health Care Provider/Practitioner: BEVERLY C SAINT-AMAND NP-C

Information about “1205370178” NPI (BEVERLY C SAINT-AMAND NP-C) exists in 1205370178 in HTML format HTML  |  1205370178 in plain Text format TXT  |  1205370178 in PDF (Portable Document Format) PDF  |  1205370178 in an XML format XML  formats.

NPI Number : 1205370178 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205370178",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAINT-AMAND",
    "FirstName": "BEVERLY",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SAINT-AMAND",
    "OtherFirstName": "BEVERLY",
    "OtherMiddleName": "K",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP-C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "106 STEELE CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLAND",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31820-4595",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-573-0265",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "106 STEELE CREEK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDLAND",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31820-4595",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-573-0265",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/13/2016",
    "LastUpdateDate": "10/20/2025",
    "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": "APRN9312538",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN242719",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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