NPI Code Detail JSON Logo

1205430410 NPI number — JENNIFER SUE KARNS FNP

NPI Number: 1205430410
Health Care Provider/Practitioner: JENNIFER SUE KARNS FNP

Information about “1205430410” NPI (JENNIFER SUE KARNS FNP) exists in 1205430410 in HTML format HTML  |  1205430410 in plain Text format TXT  |  1205430410 in PDF (Portable Document Format) PDF  |  1205430410 in an XML format XML  formats.

NPI Number : 1205430410 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205430410",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KARNS",
    "FirstName": "JENNIFER",
    "MiddleName": "SUE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5037 E BALL CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IONA",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83427-1210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-699-7333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2275 CHANNING WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IDAHO FALLS",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83404-8012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-900-3434",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2020",
    "LastUpdateDate": "03/06/2023",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "67228",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "1628612",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "201506784",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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