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1841569514 NPI number — JOLIENNE ADRIA WALTERS-HARVEY NURSE PRACTITIONER

NPI Number: 1841569514
Health Care Provider/Practitioner: JOLIENNE ADRIA WALTERS-HARVEY NURSE PRACTITIONER

Information about “1841569514” NPI (JOLIENNE ADRIA WALTERS-HARVEY NURSE PRACTITIONER) exists in 1841569514 in HTML format HTML  |  1841569514 in plain Text format TXT  |  1841569514 in PDF (Portable Document Format) PDF  |  1841569514 in an XML format XML  formats.

NPI Number : 1841569514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841569514",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALTERS-HARVEY",
    "FirstName": "JOLIENNE",
    "MiddleName": "ADRIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "252 CROMBIE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11746-1506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-223-2737",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "79 MIDDLEVILLE ROAD",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF VETERANS AFFAIRS",
    "PracticeLocationAddressCityName": "NORTHPORT",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11768",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-261-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/23/2011",
    "LastUpdateDate": "12/23/2011",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "401410-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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