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1447792197 NPI number — MISTY LOVELL CPNP

NPI Number: 1447792197
Health Care Provider/Practitioner: MISTY LOVELL CPNP

Information about “1447792197” NPI (MISTY LOVELL CPNP) exists in 1447792197 in HTML format HTML  |  1447792197 in plain Text format TXT  |  1447792197 in PDF (Portable Document Format) PDF  |  1447792197 in an XML format XML  formats.

NPI Number : 1447792197 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447792197",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOVELL",
    "FirstName": "MISTY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOVELL",
    "OtherFirstName": "MISTY",
    "OtherMiddleName": "DANIELL",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CPNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "300 E MCBEE AVE FL 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29601-2842",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-522-8603",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "151 BEREA MIDDLE SCHOOL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29617-1220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-454-2341",
    "PracticeLocationAddressFaxNumber": "864-454-1114",
    "EnumerationDate": "11/11/2016",
    "LastUpdateDate": "10/14/2024",
    "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": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "209.014979",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "22822",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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