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1699519504 NPI number — JESSICA GAIL POPIELARZ DNP, APRN, PMHNP-BC

NPI Number: 1699519504
Health Care Provider/Practitioner: JESSICA GAIL POPIELARZ DNP, APRN, PMHNP-BC

Information about “1699519504” NPI (JESSICA GAIL POPIELARZ DNP, APRN, PMHNP-BC) exists in 1699519504 in HTML format HTML  |  1699519504 in plain Text format TXT  |  1699519504 in PDF (Portable Document Format) PDF  |  1699519504 in an XML format XML  formats.

NPI Number : 1699519504 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699519504",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POPIELARZ",
    "FirstName": "JESSICA",
    "MiddleName": "GAIL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP, APRN, PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YORK",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "GAIL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 843966",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KANSAS CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64184-3966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-884-3300",
    "MailingAddressFaxNumber": "573-884-0943",
    "FirstLinePracticeLocationAddress": "1000 W NIFONG BLVD",
    "SecondLinePracticeLocationAddress": "BLDG 7, STE 300",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65203-5615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-884-1130",
    "PracticeLocationAddressFaxNumber": "573-884-5936",
    "EnumerationDate": "06/24/2024",
    "LastUpdateDate": "08/08/2024",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "2018020603",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "2024025439",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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