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1457924847 NPI number — MORGAN CHANDEL HEARN NP

NPI Number: 1457924847
Health Care Provider/Practitioner: MORGAN CHANDEL HEARN NP

Information about “1457924847” NPI (MORGAN CHANDEL HEARN NP) exists in 1457924847 in HTML format HTML  |  1457924847 in plain Text format TXT  |  1457924847 in PDF (Portable Document Format) PDF  |  1457924847 in an XML format XML  formats.

NPI Number : 1457924847 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457924847",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEARN",
    "FirstName": "MORGAN",
    "MiddleName": "CHANDEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GALYEAN",
    "OtherFirstName": "MORGAN",
    "OtherMiddleName": "CHANDEL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "117 N WINNSBORO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUITMAN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75783-2144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-763-6220",
    "MailingAddressFaxNumber": "903-763-6222",
    "FirstLinePracticeLocationAddress": "117 N WINNSBORO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "QUITMAN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75783-2144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-763-6220",
    "PracticeLocationAddressFaxNumber": "903-763-6222",
    "EnumerationDate": "07/22/2021",
    "LastUpdateDate": "12/23/2024",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "1015304",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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