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1396989083 NPI number — JAMIE ANN DEBOUNO NP-C

NPI Number: 1396989083
Health Care Provider/Practitioner: JAMIE ANN DEBOUNO NP-C

Information about “1396989083” NPI (JAMIE ANN DEBOUNO NP-C) exists in 1396989083 in HTML format HTML  |  1396989083 in plain Text format TXT  |  1396989083 in PDF (Portable Document Format) PDF  |  1396989083 in an XML format XML  formats.

NPI Number : 1396989083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396989083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEBOUNO",
    "FirstName": "JAMIE ANN",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEBOUNO",
    "OtherFirstName": "JAMIE ANN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP-C, RN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "151 FRIES MILL RD",
    "SecondLineMailingAddress": "STE 202",
    "MailingAddressCityName": "BLACKWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08012-2057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-727-2465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1907 NEW RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTHFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08225-1545",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-645-8884",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2009",
    "LastUpdateDate": "12/04/2018",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "26NR129390000",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN575581",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "SP010169",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "SP011146",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "26NJ00185000",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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