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1477290187 NPI number — KELSEY JOY JUG APRN

NPI Number: 1477290187
Health Care Provider/Practitioner: KELSEY JOY JUG APRN

Information about “1477290187” NPI (KELSEY JOY JUG APRN) exists in 1477290187 in HTML format HTML  |  1477290187 in plain Text format TXT  |  1477290187 in PDF (Portable Document Format) PDF  |  1477290187 in an XML format XML  formats.

NPI Number : 1477290187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477290187",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JUG",
    "FirstName": "KELSEY",
    "MiddleName": "JOY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "718 TEANECK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEANECK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07666-4245",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-833-3000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "718 TEANECK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEANECK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07666-4245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-833-3000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2022",
    "LastUpdateDate": "12/28/2025",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "26NJ15366800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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