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1235940099 NPI number — CRYSTAL ANN HOLMAN FNP-BC

NPI Number: 1235940099
Health Care Provider/Practitioner: CRYSTAL ANN HOLMAN FNP-BC

Information about “1235940099” NPI (CRYSTAL ANN HOLMAN FNP-BC) exists in 1235940099 in HTML format HTML  |  1235940099 in plain Text format TXT  |  1235940099 in PDF (Portable Document Format) PDF  |  1235940099 in an XML format XML  formats.

NPI Number : 1235940099 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235940099",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMAN",
    "FirstName": "CRYSTAL",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4196 HIGHWAY 62 412 STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARDY",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72542-8002",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-856-1202",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "218 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUFAULA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74432-1633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-689-7705",
    "PracticeLocationAddressFaxNumber": "855-860-5341",
    "EnumerationDate": "01/20/2025",
    "LastUpdateDate": "01/20/2025",
    "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": "221293",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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