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1891667200 NPI number — MS. JAZZMIN NELSON

NPI Number: 1891667200
Health Care Provider/Practitioner: MS. JAZZMIN NELSON

Information about “1891667200” NPI (MS. JAZZMIN NELSON) exists in 1891667200 in HTML format HTML  |  1891667200 in plain Text format TXT  |  1891667200 in PDF (Portable Document Format) PDF  |  1891667200 in an XML format XML  formats.

NPI Number : 1891667200 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891667200",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "JAZZMIN",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8594",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA CRESCENTA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91224-0594",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "425 ROBINSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BINGHAMTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13904-1775",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-724-1391",
    "PracticeLocationAddressFaxNumber": "607-773-4387",
    "EnumerationDate": "09/23/2025",
    "LastUpdateDate": "09/23/2025",
    "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": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "353757",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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