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1831912088 NPI number — MRS. ERICA LEIGH CLOHESSY

NPI Number: 1831912088
Health Care Provider/Practitioner: MRS. ERICA LEIGH CLOHESSY

Information about “1831912088” NPI (MRS. ERICA LEIGH CLOHESSY) exists in 1831912088 in HTML format HTML  |  1831912088 in plain Text format TXT  |  1831912088 in PDF (Portable Document Format) PDF  |  1831912088 in an XML format XML  formats.

NPI Number : 1831912088 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831912088",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLOHESSY",
    "FirstName": "ERICA",
    "MiddleName": "LEIGH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 REJE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-8138",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-754-8002",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 HWY 35 UNIT 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07712-3533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-531-6400",
    "PracticeLocationAddressFaxNumber": "609-991-6220",
    "EnumerationDate": "11/06/2024",
    "LastUpdateDate": "11/06/2024",
    "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": "26NJ15139300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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