{
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"LastName": null,
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"NamePrefix": null,
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "601-428-4685",
"FirstLinePracticeLocationAddress": "945 WEST DR",
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"PracticeLocationAddressTelephoneNumber": "601-649-6660",
"PracticeLocationAddressFaxNumber": "601-428-4685",
"EnumerationDate": "08/10/2007",
"LastUpdateDate": "08/10/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEVERSON",
"AuthorizedOfficialFirstName": "DEBORAH",
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"AuthorizedOfficialCredential": "LPN",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "347C00000X",
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},
{
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},
{
"TaxonomyCode": "3104A0630X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}