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1356846471 NPI number — PAMELA HUMPHREY APRN,FNP-BC

NPI Number: 1356846471
Health Care Provider/Practitioner: PAMELA HUMPHREY APRN,FNP-BC

Information about “1356846471” NPI (PAMELA HUMPHREY APRN,FNP-BC) exists in 1356846471 in HTML format HTML  |  1356846471 in plain Text format TXT  |  1356846471 in PDF (Portable Document Format) PDF  |  1356846471 in an XML format XML  formats.

NPI Number : 1356846471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356846471",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUMPHREY",
    "FirstName": "PAMELA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APRN,FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUMPHERY-KAMATEH",
    "OtherFirstName": "PAMELA",
    "OtherMiddleName": "DENISE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1121 TWIN CIRCLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37217-4068",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-779-8410",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1310 24TH AVE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37212-2637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-873-8484",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/29/2018",
    "LastUpdateDate": "05/20/2021",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "0000023482",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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