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1467462150 NPI number — JEFFREY S JUMP MD

NPI Number: 1467462150
Health Care Provider/Practitioner: JEFFREY S JUMP MD

Information about “1467462150” NPI (JEFFREY S JUMP MD) exists in 1467462150 in HTML format HTML  |  1467462150 in plain Text format TXT  |  1467462150 in PDF (Portable Document Format) PDF  |  1467462150 in an XML format XML  formats.

NPI Number : 1467462150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467462150",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JUMP",
    "FirstName": "JEFFREY",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "320 EAST MAIN STREET",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "CHATTANOOGA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-643-2246",
    "MailingAddressFaxNumber": "423-643-2030",
    "FirstLinePracticeLocationAddress": "320 EAST MAIN STREET",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "CHATTANOOGA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-643-2246",
    "PracticeLocationAddressFaxNumber": "423-643-2030",
    "EnumerationDate": "08/08/2006",
    "LastUpdateDate": "05/27/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD28299",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "28299",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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