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1609472679 NPI number — ASHLEY JENE' E THOMAS CRNP

NPI Number: 1609472679
Health Care Provider/Practitioner: ASHLEY JENE' E THOMAS CRNP

Information about “1609472679” NPI (ASHLEY JENE' E THOMAS CRNP) exists in 1609472679 in HTML format HTML  |  1609472679 in plain Text format TXT  |  1609472679 in PDF (Portable Document Format) PDF  |  1609472679 in an XML format XML  formats.

NPI Number : 1609472679 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609472679",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "ASHLEY",
    "MiddleName": "JENE' E",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THOMAS",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "JENE' E",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "8500 ALLENSWOOD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANDALLSTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21133-4604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-796-8515",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8500 ALLENSWOOD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANDALLSTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21133-4604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-796-8515",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2020",
    "LastUpdateDate": "12/21/2020",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "R217978",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "R217978",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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