NPI Code Detail JSON Logo

1821428640 NPI number — DEONNA MICHELLE BYNUM FNP

NPI Number: 1821428640
Health Care Provider/Practitioner: DEONNA MICHELLE BYNUM FNP

Information about “1821428640” NPI (DEONNA MICHELLE BYNUM FNP) exists in 1821428640 in HTML format HTML  |  1821428640 in plain Text format TXT  |  1821428640 in PDF (Portable Document Format) PDF  |  1821428640 in an XML format XML  formats.

NPI Number : 1821428640 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821428640",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BYNUM",
    "FirstName": "DEONNA",
    "MiddleName": "MICHELLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHAPMAN",
    "OtherFirstName": "DEONNA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "126 MEDICAL DRIVE",
    "SecondLineMailingAddress": "SUITE B",
    "MailingAddressCityName": "PALESTINE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-729-2428",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "126 MEDICAL DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "PALESTINE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-729-2428",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/14/2013",
    "LastUpdateDate": "11/14/2013",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "766930",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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