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1619004744 NPI number — DARIUS R. MCGEE FNP

NPI Number: 1619004744
Health Care Provider/Practitioner: DARIUS R. MCGEE FNP

Information about “1619004744” NPI (DARIUS R. MCGEE FNP) exists in 1619004744 in HTML format HTML  |  1619004744 in plain Text format TXT  |  1619004744 in PDF (Portable Document Format) PDF  |  1619004744 in an XML format XML  formats.

NPI Number : 1619004744 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619004744",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGEE",
    "FirstName": "DARIUS",
    "MiddleName": "R.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30 CIRCLE J DR",
    "SecondLineMailingAddress": "SUITE 1",
    "MailingAddressCityName": "LAUREL",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39440-1980",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-425-0092",
    "MailingAddressFaxNumber": "601-425-0473",
    "FirstLinePracticeLocationAddress": "30 CIRCLE J DR",
    "SecondLinePracticeLocationAddress": "SUITE 1",
    "PracticeLocationAddressCityName": "LAUREL",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39440-1980",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-425-0092",
    "PracticeLocationAddressFaxNumber": "601-425-0473",
    "EnumerationDate": "02/27/2007",
    "LastUpdateDate": "03/04/2011",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "R856125",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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