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1487396750 NPI number — REBEKAH ELIZABETH BLAIR APRN, FNP-C

NPI Number: 1487396750
Health Care Provider/Practitioner: REBEKAH ELIZABETH BLAIR APRN, FNP-C

Information about “1487396750” NPI (REBEKAH ELIZABETH BLAIR APRN, FNP-C) exists in 1487396750 in HTML format HTML  |  1487396750 in plain Text format TXT  |  1487396750 in PDF (Portable Document Format) PDF  |  1487396750 in an XML format XML  formats.

NPI Number : 1487396750 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487396750",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLAIR",
    "FirstName": "REBEKAH",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2707 JACKSBORO PIKE STE 1A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSBORO",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37757-2752",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-907-8186",
    "MailingAddressFaxNumber": "423-907-8187",
    "FirstLinePracticeLocationAddress": "2707 JACKSBORO PIKE STE 1A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSBORO",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37757-2752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-907-8186",
    "PracticeLocationAddressFaxNumber": "423-907-8187",
    "EnumerationDate": "04/08/2022",
    "LastUpdateDate": "01/14/2023",
    "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": "33168",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "0000256293",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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