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1457633745 NPI number — MARY P FREEMAN ARNP

NPI Number: 1457633745
Health Care Provider/Practitioner: MARY P FREEMAN ARNP

Information about “1457633745” NPI (MARY P FREEMAN ARNP) exists in 1457633745 in HTML format HTML  |  1457633745 in plain Text format TXT  |  1457633745 in PDF (Portable Document Format) PDF  |  1457633745 in an XML format XML  formats.

NPI Number : 1457633745 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457633745",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREEMAN",
    "FirstName": "MARY",
    "MiddleName": "P",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAFLEUR",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "P",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ARNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5501 ROOSEVELT BLVD",
    "SecondLineMailingAddress": "ST VINCENT'SFIRST CARE WALK-IN EXPRESS",
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32244-2345",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-683-9962",
    "MailingAddressFaxNumber": "904-683-9640",
    "FirstLinePracticeLocationAddress": "5501 ROOSEVELT BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32244-2345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-683-9962",
    "PracticeLocationAddressFaxNumber": "904-683-9640",
    "EnumerationDate": "09/13/2011",
    "LastUpdateDate": "08/26/2015",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "ARNP9250100",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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