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1366616237 NPI number — JENNIFER ANN JOHN OT

NPI Number: 1366616237
Health Care Provider/Practitioner: JENNIFER ANN JOHN OT

Information about “1366616237” NPI (JENNIFER ANN JOHN OT) exists in 1366616237 in HTML format HTML  |  1366616237 in plain Text format TXT  |  1366616237 in PDF (Portable Document Format) PDF  |  1366616237 in an XML format XML  formats.

NPI Number : 1366616237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366616237",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHN",
    "FirstName": "JENNIFER",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TIGHE",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "OT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4413 W BROOKWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33629-4217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-580-6660",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18115 N US HIGHWAY 41 STE 800",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUTZ",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33549-6475",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-389-5301",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/22/2008",
    "LastUpdateDate": "08/04/2020",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT 11889",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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