NPI Code Detail JSON Logo

1437775574 NPI number — JENNIFER ANN IMEL APRN

NPI Number: 1437775574
Health Care Provider/Practitioner: JENNIFER ANN IMEL APRN

Information about “1437775574” NPI (JENNIFER ANN IMEL APRN) exists in 1437775574 in HTML format HTML  |  1437775574 in plain Text format TXT  |  1437775574 in PDF (Portable Document Format) PDF  |  1437775574 in an XML format XML  formats.

NPI Number : 1437775574 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437775574",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IMEL",
    "FirstName": "JENNIFER",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "222 MAIN STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEOLA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67865",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-885-4202",
    "MailingAddressFaxNumber": "620-885-4205",
    "FirstLinePracticeLocationAddress": "222 MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNEOLA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67865",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-885-4202",
    "PracticeLocationAddressFaxNumber": "620-885-4205",
    "EnumerationDate": "06/24/2020",
    "LastUpdateDate": "03/19/2025",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "14-112791",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "53-79600-122",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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