NPI Code Detail JSON Logo

1760299846 NPI number — JESSICA GORDON RNFA

NPI Number: 1760299846
Health Care Provider/Practitioner: JESSICA GORDON RNFA

Information about “1760299846” NPI (JESSICA GORDON RNFA) exists in 1760299846 in HTML format HTML  |  1760299846 in plain Text format TXT  |  1760299846 in PDF (Portable Document Format) PDF  |  1760299846 in an XML format XML  formats.

NPI Number : 1760299846 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760299846",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GORDON",
    "FirstName": "JESSICA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RNFA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOODMAN",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RNFA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8591 S BROADWAY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TYLER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75703-5470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-592-1684",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8591 S BROADWAY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TYLER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75703-5470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-596-9173",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/12/2024",
    "LastUpdateDate": "12/12/2024",
    "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": "163WR0006X",
        "TaxonomyName": "Registered Nurse First Assistant",
        "LicenseNumber": "756983",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.