{
"Npi": {
"NPI": "1518812783",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROOKS",
"FirstName": "JENNIFER",
"MiddleName": "NICOLE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROOKS",
"OtherFirstName": "NIKEE",
"OtherMiddleName": null,
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "208 MOYE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARNESVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30204-1629",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "314 E LEE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "THOMASTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30286-4122",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-647-7148",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/03/2026",
"LastUpdateDate": "03/03/2026",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "RN176504",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}