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1508652249 NPI number — ALYSSA BRIANA VERNON FNP-C

NPI Number: 1508652249
Health Care Provider/Practitioner: ALYSSA BRIANA VERNON FNP-C

Information about “1508652249” NPI (ALYSSA BRIANA VERNON FNP-C) exists in 1508652249 in HTML format HTML  |  1508652249 in plain Text format TXT  |  1508652249 in PDF (Portable Document Format) PDF  |  1508652249 in an XML format XML  formats.

NPI Number : 1508652249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508652249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VERNON",
    "FirstName": "ALYSSA",
    "MiddleName": "BRIANA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1871 SHAVER LAKE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULARE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93274-7806",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-584-2361",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "638 E 87TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90002-1013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-584-2361",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/18/2025",
    "LastUpdateDate": "06/17/2025",
    "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": "229920",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "95034765",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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