NPI Code Detail JSON Logo

1316963911 NPI number — MARY-ELIZABETH CORDLE NP

NPI Number: 1316963911
Health Care Provider/Practitioner: MARY-ELIZABETH CORDLE NP

Information about “1316963911” NPI (MARY-ELIZABETH CORDLE NP) exists in 1316963911 in HTML format HTML  |  1316963911 in plain Text format TXT  |  1316963911 in PDF (Portable Document Format) PDF  |  1316963911 in an XML format XML  formats.

NPI Number : 1316963911 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316963911",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORDLE",
    "FirstName": "MARY-ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4509 GIBSON ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEAN SPRINGS",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39564",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "228-892-3993",
    "MailingAddressFaxNumber": "228-872-3992",
    "FirstLinePracticeLocationAddress": "4509 GIBSON ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN SPRINGS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39564",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-892-3993",
    "PracticeLocationAddressFaxNumber": "228-872-3992",
    "EnumerationDate": "07/15/2006",
    "LastUpdateDate": "08/14/2020",
    "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": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "894998",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "894998",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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