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1871660480 NPI number — JENNIFER MARIE MCDONNELL FNP

NPI Number: 1871660480
Health Care Provider/Practitioner: JENNIFER MARIE MCDONNELL FNP

Information about “1871660480” NPI (JENNIFER MARIE MCDONNELL FNP) exists in 1871660480 in HTML format HTML  |  1871660480 in plain Text format TXT  |  1871660480 in PDF (Portable Document Format) PDF  |  1871660480 in an XML format XML  formats.

NPI Number : 1871660480 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871660480",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDONNELL",
    "FirstName": "JENNIFER",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FERETICH",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8808 BALBOA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92123-1592",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-645-0155",
    "MailingAddressFaxNumber": "619-645-0193",
    "FirstLinePracticeLocationAddress": "8808 BALBOA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-1592",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-645-0155",
    "PracticeLocationAddressFaxNumber": "619-645-0193",
    "EnumerationDate": "11/29/2006",
    "LastUpdateDate": "03/08/2021",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "591871",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "15817",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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