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1336903053 NPI number — BRENDOLYN MCGEE

NPI Number: 1336903053
Health Care Provider/Practitioner: BRENDOLYN MCGEE

Information about “1336903053” NPI (BRENDOLYN MCGEE) exists in 1336903053 in HTML format HTML  |  1336903053 in plain Text format TXT  |  1336903053 in PDF (Portable Document Format) PDF  |  1336903053 in an XML format XML  formats.

NPI Number : 1336903053 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336903053",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGEE",
    "FirstName": "BRENDOLYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "BRENDOLYN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "501 BROADWAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELHI",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71232-3001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-878-6650",
    "MailingAddressFaxNumber": "318-878-6321",
    "FirstLinePracticeLocationAddress": "501 BROADWAY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELHI",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71232-3001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-878-6650",
    "PracticeLocationAddressFaxNumber": "318-878-6321",
    "EnumerationDate": "02/13/2024",
    "LastUpdateDate": "08/04/2025",
    "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": "163WP0807X",
          "TaxonomyName": "Child & Adolescent Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "RN159030",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "241179",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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