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1538689476 NPI number — JARED MARK SHELDON DNP, CRNA

NPI Number: 1538689476
Health Care Provider/Practitioner: JARED MARK SHELDON DNP, CRNA

Information about “1538689476” NPI (JARED MARK SHELDON DNP, CRNA) exists in 1538689476 in HTML format HTML  |  1538689476 in plain Text format TXT  |  1538689476 in PDF (Portable Document Format) PDF  |  1538689476 in an XML format XML  formats.

NPI Number : 1538689476 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538689476",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHELDON",
    "FirstName": "JARED",
    "MiddleName": "MARK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8515 JORDAN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79423-2630",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-446-9135",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3601 4TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79430-0002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-743-9549",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2017",
    "LastUpdateDate": "11/22/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "AP134175",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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