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1467024281 NPI number — MICHELLE LEIGH OLLIS DNP, FNP-BC

NPI Number: 1467024281
Health Care Provider/Practitioner: MICHELLE LEIGH OLLIS DNP, FNP-BC

Information about “1467024281” NPI (MICHELLE LEIGH OLLIS DNP, FNP-BC) exists in 1467024281 in HTML format HTML  |  1467024281 in plain Text format TXT  |  1467024281 in PDF (Portable Document Format) PDF  |  1467024281 in an XML format XML  formats.

NPI Number : 1467024281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467024281",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLLIS",
    "FirstName": "MICHELLE",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUKOMSKI",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3364 EASTWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORGANTON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28655-8944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-443-2604",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3364 EASTWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORGANTON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28655-8944",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-443-2604",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/12/2021",
    "LastUpdateDate": "05/12/2022",
    "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": "LUKO-63AB4",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5015127",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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