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1366148371 NPI number — SHAKELL LANAE CHAVERS FNP

NPI Number: 1366148371
Health Care Provider/Practitioner: SHAKELL LANAE CHAVERS FNP

Information about “1366148371” NPI (SHAKELL LANAE CHAVERS FNP) exists in 1366148371 in HTML format HTML  |  1366148371 in plain Text format TXT  |  1366148371 in PDF (Portable Document Format) PDF  |  1366148371 in an XML format XML  formats.

NPI Number : 1366148371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366148371",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAVERS",
    "FirstName": "SHAKELL",
    "MiddleName": "LANAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "645 HUTCHINSON FERRY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAINBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "39819-6320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-395-6019",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1241 W THARPE ST STE C01",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALLAHASSEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32303-4661",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-778-7454",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/01/2023",
    "LastUpdateDate": "07/25/2024",
    "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": "RN239160",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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