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1376335273 NPI number — JANA LYNN GOODWIN APN

NPI Number: 1376335273
Health Care Provider/Practitioner: JANA LYNN GOODWIN APN

Information about “1376335273” NPI (JANA LYNN GOODWIN APN) exists in 1376335273 in HTML format HTML  |  1376335273 in plain Text format TXT  |  1376335273 in PDF (Portable Document Format) PDF  |  1376335273 in an XML format XML  formats.

NPI Number : 1376335273 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376335273",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOODWIN",
    "FirstName": "JANA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HURDIS",
    "OtherFirstName": "JANA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8940 N WOOD SAGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEORIA",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61615-7822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-243-0003",
    "MailingAddressFaxNumber": "309-243-3274",
    "FirstLinePracticeLocationAddress": "8940 N WOOD SAGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEORIA",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61615-7822",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-243-0003",
    "PracticeLocationAddressFaxNumber": "309-243-3274",
    "EnumerationDate": "05/19/2025",
    "LastUpdateDate": "05/19/2025",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "209032345",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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