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1386988392 NPI number — SHANNON JANELLE GRAHAM MSN, ANP-C

NPI Number: 1386988392
Health Care Provider/Practitioner: SHANNON JANELLE GRAHAM MSN, ANP-C

Information about “1386988392” NPI (SHANNON JANELLE GRAHAM MSN, ANP-C) exists in 1386988392 in HTML format HTML  |  1386988392 in plain Text format TXT  |  1386988392 in PDF (Portable Document Format) PDF  |  1386988392 in an XML format XML  formats.

NPI Number : 1386988392 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386988392",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRAHAM",
    "FirstName": "SHANNON",
    "MiddleName": "JANELLE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSN, ANP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOORE",
    "OtherFirstName": "SHANNON",
    "OtherMiddleName": "JANELLE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "04276 HOSPITAL SOUTH BOX 3677",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DURHAM",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27710-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-684-8111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "DUKE UNIVERSITY MEDICAL CENTER 2301 ERWIN ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DURHAM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27710",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-684-8111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/15/2012",
    "LastUpdateDate": "07/29/2018",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "5005969",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "184446",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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