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1275418964 NPI number — CLARICE DOBBS APRN

NPI Number: 1275418964
Health Care Provider/Practitioner: CLARICE DOBBS APRN

Information about “1275418964” NPI (CLARICE DOBBS APRN) exists in 1275418964 in HTML format HTML  |  1275418964 in plain Text format TXT  |  1275418964 in PDF (Portable Document Format) PDF  |  1275418964 in an XML format XML  formats.

NPI Number : 1275418964 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275418964",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOBBS",
    "FirstName": "CLARICE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOBBS",
    "OtherFirstName": "NIKI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "740 RYAN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARTIN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38237-5359",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "731-225-7668",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1516 E REELFOOT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UNION CITY",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38261-5850",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "731-886-8662",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2025",
    "LastUpdateDate": "10/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "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": "39987",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "213090",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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