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1700302304 NPI number — JUDY ANN CARPENTER FNP

NPI Number: 1700302304
Health Care Provider/Practitioner: JUDY ANN CARPENTER FNP

Information about “1700302304” NPI (JUDY ANN CARPENTER FNP) exists in 1700302304 in HTML format HTML  |  1700302304 in plain Text format TXT  |  1700302304 in PDF (Portable Document Format) PDF  |  1700302304 in an XML format XML  formats.

NPI Number : 1700302304 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700302304",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARPENTER",
    "FirstName": "JUDY",
    "MiddleName": "ANN",
    "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": "1923 S UTICA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74104-6520",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-403-7066",
    "MailingAddressFaxNumber": "918-744-2946",
    "FirstLinePracticeLocationAddress": "3400 E FRANK PHILLIPS BLVD STE 501",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARTLESVILLE",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74006-2405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-331-2415",
    "PracticeLocationAddressFaxNumber": "918-331-2551",
    "EnumerationDate": "08/16/2017",
    "LastUpdateDate": "03/25/2025",
    "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": "53-78421",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "217779",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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