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1710865142 NPI number — KENSINGTON BROOKE JETT FNP

NPI Number: 1710865142
Health Care Provider/Practitioner: KENSINGTON BROOKE JETT FNP

Information about “1710865142” NPI (KENSINGTON BROOKE JETT FNP) exists in 1710865142 in HTML format HTML  |  1710865142 in plain Text format TXT  |  1710865142 in PDF (Portable Document Format) PDF  |  1710865142 in an XML format XML  formats.

NPI Number : 1710865142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710865142",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JETT",
    "FirstName": "KENSINGTON",
    "MiddleName": "BROOKE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "APPLEBY",
    "OtherFirstName": "KENSINGTON",
    "OtherMiddleName": "BROOKE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "859 E COUNTY ROAD 650 S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW CASTLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47362-9647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-591-3574",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2525 W UNIVERSITY AVE STE 401",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUNCIE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47303-3433",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "260-076-5751",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2025",
    "LastUpdateDate": "09/19/2025",
    "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": "71017007A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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