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1467598151 NPI number — DEBRA LYN HERNDON MSN, FNP-BC, CRNFA

NPI Number: 1467598151
Health Care Provider/Practitioner: DEBRA LYN HERNDON MSN, FNP-BC, CRNFA

Information about “1467598151” NPI (DEBRA LYN HERNDON MSN, FNP-BC, CRNFA) exists in 1467598151 in HTML format HTML  |  1467598151 in plain Text format TXT  |  1467598151 in PDF (Portable Document Format) PDF  |  1467598151 in an XML format XML  formats.

NPI Number : 1467598151 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467598151",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERNDON",
    "FirstName": "DEBRA",
    "MiddleName": "LYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, FNP-BC, CRNFA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASSELL",
    "OtherFirstName": "DEBRA",
    "OtherMiddleName": "LYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNFA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 496084",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REDDING",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96049-6084",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-241-0473",
    "MailingAddressFaxNumber": "530-241-5377",
    "FirstLinePracticeLocationAddress": "2175 ROSALINE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REDDING",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "96001-2509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-225-6000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2007",
    "LastUpdateDate": "12/10/2010",
    "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": "20376",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "498434",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "095006510RN",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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