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1295548006 NPI number — KRISTEN SOUTHER MSN, RN CPNP-PC

NPI Number: 1295548006
Health Care Provider/Practitioner: KRISTEN SOUTHER MSN, RN CPNP-PC

Information about “1295548006” NPI (KRISTEN SOUTHER MSN, RN CPNP-PC) exists in 1295548006 in HTML format HTML  |  1295548006 in plain Text format TXT  |  1295548006 in PDF (Portable Document Format) PDF  |  1295548006 in an XML format XML  formats.

NPI Number : 1295548006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295548006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOUTHER",
    "FirstName": "KRISTEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, RN CPNP-PC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BECK",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5546 BARK CAMP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRAYVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30564-1804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-654-4953",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 DAWSON COMMONS CIR STE 320",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAWSONVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30534-6268",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-216-2771",
    "PracticeLocationAddressFaxNumber": "706-216-2944",
    "EnumerationDate": "01/28/2025",
    "LastUpdateDate": "02/18/2025",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN258617",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "RN258617",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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