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1477146850 NPI number — LISA MARIE FERRELL

NPI Number: 1477146850
Health Care Provider/Practitioner: LISA MARIE FERRELL

Information about “1477146850” NPI (LISA MARIE FERRELL) exists in 1477146850 in HTML format HTML  |  1477146850 in plain Text format TXT  |  1477146850 in PDF (Portable Document Format) PDF  |  1477146850 in an XML format XML  formats.

NPI Number : 1477146850 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477146850",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERRELL",
    "FirstName": "LISA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2025 FLOWER DR UNIT 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTERVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28590-3414",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-783-6395",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "127 GOLDSBORO ST S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILSON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27893-4903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-783-6395",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/16/2021",
    "LastUpdateDate": "03/25/2025",
    "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": "F01210719",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5014103",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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