NPI Code Detail JSON Logo

1538965835 NPI number — GINA MARIE GEOFFROY APRN

NPI Number: 1538965835
Health Care Provider/Practitioner: GINA MARIE GEOFFROY APRN

Information about “1538965835” NPI (GINA MARIE GEOFFROY APRN) exists in 1538965835 in HTML format HTML  |  1538965835 in plain Text format TXT  |  1538965835 in PDF (Portable Document Format) PDF  |  1538965835 in an XML format XML  formats.

NPI Number : 1538965835 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538965835",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GEOFFROY",
    "FirstName": "GINA",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MELIUS",
    "OtherFirstName": "GINA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "234 FORTUNA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BEACH GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33410-4310",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-414-7612",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4425 MILITARY TRL STE 212",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JUPITER",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33458-4817",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-721-1112",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/19/2025",
    "LastUpdateDate": "02/19/2025",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "APRN11037572",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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