{
"Npi": {
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"IsOrgSubpart": "N",
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"OrgName": "RESOLUTE HEALTHCARE",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 6940",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DIBERVILLE",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39540-6901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-243-7711",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4347 W GAY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DIBERVILLE",
"PracticeLocationAddressStateName": "MS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-229-7989",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/18/2019",
"LastUpdateDate": "07/21/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LADNER",
"AuthorizedOfficialFirstName": "JILLIAN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "228-229-7989",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}