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1851484000 NPI number — GRETCHEN R NELSON NP

NPI Number: 1851484000
Health Care Provider/Practitioner: GRETCHEN R NELSON NP

Information about “1851484000” NPI (GRETCHEN R NELSON NP) exists in 1851484000 in HTML format HTML  |  1851484000 in plain Text format TXT  |  1851484000 in PDF (Portable Document Format) PDF  |  1851484000 in an XML format XML  formats.

NPI Number : 1851484000 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851484000",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "GRETCHEN",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "657 S WATER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GALLATIN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37066-3645",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-610-1701",
    "MailingAddressFaxNumber": "615-590-7666",
    "FirstLinePracticeLocationAddress": "1040 N JAMES CAMPBELL BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 108",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-223-8414",
    "PracticeLocationAddressFaxNumber": "931-223-8415",
    "EnumerationDate": "10/02/2006",
    "LastUpdateDate": "07/21/2022",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209004992",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APN22643",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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