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1558212662 NPI number — MEGAN ELIZABETH JELLEY

NPI Number: 1558212662
Health Care Provider/Practitioner: MEGAN ELIZABETH JELLEY

Information about “1558212662” NPI (MEGAN ELIZABETH JELLEY) exists in 1558212662 in HTML format HTML  |  1558212662 in plain Text format TXT  |  1558212662 in PDF (Portable Document Format) PDF  |  1558212662 in an XML format XML  formats.

NPI Number : 1558212662 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558212662",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JELLEY",
    "FirstName": "MEGAN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOFFMAN",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2028 FENDLEBRUSH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLANDS RANCH",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80129-5708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2028 FENDLEBRUSH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIGHLANDS RANCH",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80129-5708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-658-1994",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2026",
    "LastUpdateDate": "02/05/2026",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "1001603-NP",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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