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1760760862 NPI number — JESSICA KAY HAUB ARNP

NPI Number: 1760760862
Health Care Provider/Practitioner: JESSICA KAY HAUB ARNP

Information about “1760760862” NPI (JESSICA KAY HAUB ARNP) exists in 1760760862 in HTML format HTML  |  1760760862 in plain Text format TXT  |  1760760862 in PDF (Portable Document Format) PDF  |  1760760862 in an XML format XML  formats.

NPI Number : 1760760862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760760862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAUB",
    "FirstName": "JESSICA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HONOMICHL",
    "OtherFirstName": "JESSICA",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "802 KENYON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT DODGE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50501-5740",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-573-3101",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "802 KENYON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT DODGE",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50501-5740",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-573-3101",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2011",
    "LastUpdateDate": "06/05/2012",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "H-103650",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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