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1669815759 NPI number — ANDREA CLAYTON BAIN APNC

NPI Number: 1669815759
Health Care Provider/Practitioner: ANDREA CLAYTON BAIN APNC

Information about “1669815759” NPI (ANDREA CLAYTON BAIN APNC) exists in 1669815759 in HTML format HTML  |  1669815759 in plain Text format TXT  |  1669815759 in PDF (Portable Document Format) PDF  |  1669815759 in an XML format XML  formats.

NPI Number : 1669815759 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669815759",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAIN",
    "FirstName": "ANDREA",
    "MiddleName": "CLAYTON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APNC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 435",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEBURG",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38464-0435",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-766-2027",
    "MailingAddressFaxNumber": "855-576-2925",
    "FirstLinePracticeLocationAddress": "2367 HIGHWAY 43 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEOMA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38468-5209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-766-2027",
    "PracticeLocationAddressFaxNumber": "855-576-2925",
    "EnumerationDate": "04/09/2013",
    "LastUpdateDate": "08/05/2024",
    "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": "17544",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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