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1639226558 NPI number — NORMA JACKSON FELICIANO RN

NPI Number: 1639226558
Health Care Provider/Practitioner: NORMA JACKSON FELICIANO RN

Information about “1639226558” NPI (NORMA JACKSON FELICIANO RN) exists in 1639226558 in HTML format HTML  |  1639226558 in plain Text format TXT  |  1639226558 in PDF (Portable Document Format) PDF  |  1639226558 in an XML format XML  formats.

NPI Number : 1639226558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639226558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACKSON FELICIANO",
    "FirstName": "NORMA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JACKSON",
    "OtherFirstName": "NORMA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "227 CLINTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PATERSON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07522-1259",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-790-9455",
    "MailingAddressFaxNumber": "973-790-9432",
    "FirstLinePracticeLocationAddress": "888 E 24TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PATERSON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07513-1424",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-519-1355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/04/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "163WH0500X",
        "TaxonomyName": "Hemodialysis Registered Nurse",
        "LicenseNumber": "NO70158",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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