NPI Code Detail JSON Logo

1215348354 NPI number — LAUREN HUDSON MANLEY FNP-C

NPI Number: 1215348354
Health Care Provider/Practitioner: LAUREN HUDSON MANLEY FNP-C

Information about “1215348354” NPI (LAUREN HUDSON MANLEY FNP-C) exists in 1215348354 in HTML format HTML  |  1215348354 in plain Text format TXT  |  1215348354 in PDF (Portable Document Format) PDF  |  1215348354 in an XML format XML  formats.

NPI Number : 1215348354 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215348354",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANLEY",
    "FirstName": "LAUREN",
    "MiddleName": "HUDSON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUDSON",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": "ASHLEY",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9055 KATY FWY",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77024-1624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-461-2915",
    "MailingAddressFaxNumber": "713-461-5307",
    "FirstLinePracticeLocationAddress": "1105 W FRANK AVE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUFKIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75904-3395",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "936-631-6771",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/12/2014",
    "LastUpdateDate": "01/06/2022",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "768602",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP125464",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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