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1316511900 NPI number — JESSIE MERYL MCGLOTHLIN

NPI Number: 1316511900
Health Care Provider/Practitioner: JESSIE MERYL MCGLOTHLIN

Information about “1316511900” NPI (JESSIE MERYL MCGLOTHLIN) exists in 1316511900 in HTML format HTML  |  1316511900 in plain Text format TXT  |  1316511900 in PDF (Portable Document Format) PDF  |  1316511900 in an XML format XML  formats.

NPI Number : 1316511900 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316511900",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGLOTHLIN",
    "FirstName": "JESSIE",
    "MiddleName": "MERYL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1101 TAYLOR ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PULASKI",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24301-4027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 LIFE DR APT 180",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHRISTIANSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24073-7454",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-358-5006",
    "PracticeLocationAddressFaxNumber": "540-390-0005",
    "EnumerationDate": "05/18/2021",
    "LastUpdateDate": "05/18/2021",
    "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": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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