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1295111706 NPI number — SALLY ANN FOGG APRN

NPI Number: 1295111706
Health Care Provider/Practitioner: SALLY ANN FOGG APRN

Information about “1295111706” NPI (SALLY ANN FOGG APRN) exists in 1295111706 in HTML format HTML  |  1295111706 in plain Text format TXT  |  1295111706 in PDF (Portable Document Format) PDF  |  1295111706 in an XML format XML  formats.

NPI Number : 1295111706 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295111706",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOGG",
    "FirstName": "SALLY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRENOBLE",
    "OtherFirstName": "SALLY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2620 ELM HILL PIKE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37214-3108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-425-4200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "185 ADAM SHEPHERD PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHEPHERDSVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40165-6578",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-921-5450",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2015",
    "LastUpdateDate": "08/06/2015",
    "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": "3009396",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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