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1447586086 NPI number — REBECCA JILL BRACKETT FNP-C

NPI Number: 1447586086
Health Care Provider/Practitioner: REBECCA JILL BRACKETT FNP-C

Information about “1447586086” NPI (REBECCA JILL BRACKETT FNP-C) exists in 1447586086 in HTML format HTML  |  1447586086 in plain Text format TXT  |  1447586086 in PDF (Portable Document Format) PDF  |  1447586086 in an XML format XML  formats.

NPI Number : 1447586086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447586086",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRACKETT",
    "FirstName": "REBECCA",
    "MiddleName": "JILL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2490 RIVERSIDE DR STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MACON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31204-1787",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "478-633-6644",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "777 HEMLOCK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MACON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31201-2102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "478-633-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2009",
    "LastUpdateDate": "07/23/2020",
    "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": "5004991",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "4041",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "195045",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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