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1801282116 NPI number — KIMBERLY ANN OGLESBY-MCCOWAN FNP

NPI Number: 1801282116
Health Care Provider/Practitioner: KIMBERLY ANN OGLESBY-MCCOWAN FNP

Information about “1801282116” NPI (KIMBERLY ANN OGLESBY-MCCOWAN FNP) exists in 1801282116 in HTML format HTML  |  1801282116 in plain Text format TXT  |  1801282116 in PDF (Portable Document Format) PDF  |  1801282116 in an XML format XML  formats.

NPI Number : 1801282116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801282116",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OGLESBY-MCCOWAN",
    "FirstName": "KIMBERLY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OGLESBY-MCCOWAN",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4240 HARBOUR ISLAND LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OXNARD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-797-3599",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1901 OUTLET CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OXNARD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93036-0663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-981-8300",
    "PracticeLocationAddressFaxNumber": "805-981-8302",
    "EnumerationDate": "04/13/2015",
    "LastUpdateDate": "01/23/2024",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "NP95002183",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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