NPI Code Detail JSON Logo

1255696399 NPI number — JENNIFER ASHLEY LONDON ATC

NPI Number: 1255696399
Health Care Provider/Practitioner: JENNIFER ASHLEY LONDON ATC

Information about “1255696399” NPI (JENNIFER ASHLEY LONDON ATC) exists in 1255696399 in HTML format HTML  |  1255696399 in plain Text format TXT  |  1255696399 in PDF (Portable Document Format) PDF  |  1255696399 in an XML format XML  formats.

NPI Number : 1255696399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255696399",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LONDON",
    "FirstName": "JENNIFER",
    "MiddleName": "ASHLEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "812 CROSS COURT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUGUSTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30909-2776",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-254-2399",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "812 CROSS COURT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUGUSTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30909-2776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-254-2399",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/04/2012",
    "LastUpdateDate": "10/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/05/2016",
    "NPIReactivationDate": "10/17/2018",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "1279",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT002100",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.