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1841954286 NPI number — JULAE E BROCK APRN

NPI Number: 1841954286
Health Care Provider/Practitioner: JULAE E BROCK APRN

Information about “1841954286” NPI (JULAE E BROCK APRN) exists in 1841954286 in HTML format HTML  |  1841954286 in plain Text format TXT  |  1841954286 in PDF (Portable Document Format) PDF  |  1841954286 in an XML format XML  formats.

NPI Number : 1841954286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841954286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROCK",
    "FirstName": "JULAE",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "JULAE",
    "OtherMiddleName": "E",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "101 RIVERFRONT BLVD STE 710",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRADENTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34205-8812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-776-4000",
    "MailingAddressFaxNumber": "941-845-4963",
    "FirstLinePracticeLocationAddress": "725 N 12TH AVE BLDG B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARCADIA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34266-8752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-494-1242",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/22/2021",
    "LastUpdateDate": "04/22/2022",
    "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": "11015980",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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