NPI Code Detail JSON Logo

1760108377 NPI number — JESSICA WOODSIDE MONAHAN APRN

NPI Number: 1760108377
Health Care Provider/Practitioner: JESSICA WOODSIDE MONAHAN APRN

Information about “1760108377” NPI (JESSICA WOODSIDE MONAHAN APRN) exists in 1760108377 in HTML format HTML  |  1760108377 in plain Text format TXT  |  1760108377 in PDF (Portable Document Format) PDF  |  1760108377 in an XML format XML  formats.

NPI Number : 1760108377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760108377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONAHAN",
    "FirstName": "JESSICA",
    "MiddleName": "WOODSIDE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COOK",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "SARAH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1002 NW 22ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAMAS",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98607-7978",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-913-5398",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9895 SE SUNNYSIDE RD STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLACKAMAS",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97015-9745",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-300-0654",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2022",
    "LastUpdateDate": "04/17/2023",
    "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": "202007707RN",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "10006008",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "61410145",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.