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1407099336 NPI number — JILLIAN FAYE HAIES ANP,WHNP

NPI Number: 1407099336
Health Care Provider/Practitioner: JILLIAN FAYE HAIES ANP,WHNP

Information about “1407099336” NPI (JILLIAN FAYE HAIES ANP,WHNP) exists in 1407099336 in HTML format HTML  |  1407099336 in plain Text format TXT  |  1407099336 in PDF (Portable Document Format) PDF  |  1407099336 in an XML format XML  formats.

NPI Number : 1407099336 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407099336",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAIES",
    "FirstName": "JILLIAN",
    "MiddleName": "FAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ANP,WHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GROVER",
    "OtherFirstName": "JILLIAN",
    "OtherMiddleName": "FAYE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ANP, WHNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "801 AMSTERDAM AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10025-5752",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 AMSTERDAM AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10025-5752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-749-1820",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2009",
    "LastUpdateDate": "09/04/2013",
    "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": "F305063",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "F420913",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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