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1518267723 NPI number — MRS. OLYMPIC NICOLE JONES

NPI Number: 1518267723
Health Care Provider/Practitioner: MRS. OLYMPIC NICOLE JONES

Information about “1518267723” NPI (MRS. OLYMPIC NICOLE JONES) exists in 1518267723 in HTML format HTML  |  1518267723 in plain Text format TXT  |  1518267723 in PDF (Portable Document Format) PDF  |  1518267723 in an XML format XML  formats.

NPI Number : 1518267723 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518267723",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES",
    "FirstName": "OLYMPIC",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLEMING",
    "OtherFirstName": "OLYMPIC",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M. S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "600 LYNNDALE CT STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27858-5443",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-689-6024",
    "MailingAddressFaxNumber": "252-689-6026",
    "FirstLinePracticeLocationAddress": "600 LYNNDALE CT STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27858-5443",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-689-6024",
    "PracticeLocationAddressFaxNumber": "252-689-6026",
    "EnumerationDate": "10/22/2010",
    "LastUpdateDate": "07/14/2020",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "P014927",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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