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1922340363 NPI number — JESSICA LAMP PATTERSON DPM

NPI Number: 1922340363
Health Care Provider/Practitioner: JESSICA LAMP PATTERSON DPM

Information about “1922340363” NPI (JESSICA LAMP PATTERSON DPM) exists in 1922340363 in HTML format HTML  |  1922340363 in plain Text format TXT  |  1922340363 in PDF (Portable Document Format) PDF  |  1922340363 in an XML format XML  formats.

NPI Number : 1922340363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922340363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATTERSON",
    "FirstName": "JESSICA",
    "MiddleName": "LAMP",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1212 S PARK ST STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KALAMAZOO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49001-5600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-344-0874",
    "MailingAddressFaxNumber": "269-344-7256",
    "FirstLinePracticeLocationAddress": "1212 S PARK ST STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KALAMAZOO",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49001-5600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-344-0874",
    "PracticeLocationAddressFaxNumber": "269-344-7256",
    "EnumerationDate": "03/25/2013",
    "LastUpdateDate": "12/26/2025",
    "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": "213EP1101X",
        "TaxonomyName": "Primary Podiatric Medicine Podiatrist",
        "LicenseNumber": "5901002662",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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