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1740541234 NPI number — JESSILYN RANAE HUMBLE M.D.

NPI Number: 1740541234
Health Care Provider/Practitioner: JESSILYN RANAE HUMBLE M.D.

Information about “1740541234” NPI (JESSILYN RANAE HUMBLE M.D.) exists in 1740541234 in HTML format HTML  |  1740541234 in plain Text format TXT  |  1740541234 in PDF (Portable Document Format) PDF  |  1740541234 in an XML format XML  formats.

NPI Number : 1740541234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740541234",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUMBLE",
    "FirstName": "JESSILYN",
    "MiddleName": "RANAE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2711 S ROUSE ST STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURG",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66762-6621",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-235-7612",
    "MailingAddressFaxNumber": "620-235-7613",
    "FirstLinePracticeLocationAddress": "2711 S ROUSE ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURG",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66762-6621",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-235-7612",
    "PracticeLocationAddressFaxNumber": "620-235-7613",
    "EnumerationDate": "05/31/2012",
    "LastUpdateDate": "06/18/2019",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "04-38113",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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