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1679123285 NPI number — CHERYL LYNN ELMORE NP

NPI Number: 1679123285
Health Care Provider/Practitioner: CHERYL LYNN ELMORE NP

Information about “1679123285” NPI (CHERYL LYNN ELMORE NP) exists in 1679123285 in HTML format HTML  |  1679123285 in plain Text format TXT  |  1679123285 in PDF (Portable Document Format) PDF  |  1679123285 in an XML format XML  formats.

NPI Number : 1679123285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679123285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELMORE",
    "FirstName": "CHERYL",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BELL",
    "OtherFirstName": "CHERYL",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6100 SOUTHWEST BLVD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BENBROOK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76109-3964",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-989-1221",
    "MailingAddressFaxNumber": "817-989-1175",
    "FirstLinePracticeLocationAddress": "6100 SOUTHWEST BLVD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENBROOK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76109-3964",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-989-1221",
    "PracticeLocationAddressFaxNumber": "817-989-1175",
    "EnumerationDate": "09/16/2019",
    "LastUpdateDate": "09/16/2019",
    "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": "AP143062",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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