{
"Npi": {
"NPI": "1801268826",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LECONTE",
"FirstName": "JENNIFER",
"MiddleName": null,
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "MSN,RN,AGPCNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "331 NEWMAN SPRINGS RD STE 220",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RED BANK",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07701-5792",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-807-0877",
"MailingAddressFaxNumber": "201-751-1680",
"FirstLinePracticeLocationAddress": "77 VERONICA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOMERSET",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08873",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-246-1311",
"PracticeLocationAddressFaxNumber": "732-214-9657",
"EnumerationDate": "10/29/2015",
"LastUpdateDate": "09/25/2024",
"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": "363LP2300X",
"TaxonomyName": "Primary Care Nurse Practitioner",
"LicenseNumber": "26NJ00599900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}