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1457739468 NPI number — JOANNA SERIENO REEVES FNP

NPI Number: 1457739468
Health Care Provider/Practitioner: JOANNA SERIENO REEVES FNP

Information about “1457739468” NPI (JOANNA SERIENO REEVES FNP) exists in 1457739468 in HTML format HTML  |  1457739468 in plain Text format TXT  |  1457739468 in PDF (Portable Document Format) PDF  |  1457739468 in an XML format XML  formats.

NPI Number : 1457739468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457739468",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REEVES",
    "FirstName": "JOANNA",
    "MiddleName": "SERIENO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SERIENO",
    "OtherFirstName": "JOANNA",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1 INDEPENDENCE PT",
    "SecondLineMailingAddress": "SUITE 212",
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29615-4545",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 PATEWOOD DR",
    "SecondLinePracticeLocationAddress": "SUITE B460",
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-454-2226",
    "PracticeLocationAddressFaxNumber": "864-454-2223",
    "EnumerationDate": "05/11/2015",
    "LastUpdateDate": "06/25/2018",
    "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": "19422",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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