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1578780508 NPI number — STACEY DEESE BROWN ARNP

NPI Number: 1578780508
Health Care Provider/Practitioner: STACEY DEESE BROWN ARNP

Information about “1578780508” NPI (STACEY DEESE BROWN ARNP) exists in 1578780508 in HTML format HTML  |  1578780508 in plain Text format TXT  |  1578780508 in PDF (Portable Document Format) PDF  |  1578780508 in an XML format XML  formats.

NPI Number : 1578780508 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578780508",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "STACEY",
    "MiddleName": "DEESE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "371 MAGNOLIA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JUPITER",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33458-8379",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-575-1769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11030 RCA CENTER DR",
    "SecondLinePracticeLocationAddress": "SUITE 3015",
    "PracticeLocationAddressCityName": "PALM BEACH GARDENS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33410-4276",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-776-7041",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2007",
    "LastUpdateDate": "11/20/2008",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "3279132",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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