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1932291903 NPI number — JENNIFER G CARROLL CRNA

NPI Number: 1932291903
Health Care Provider/Practitioner: JENNIFER G CARROLL CRNA

Information about “1932291903” NPI (JENNIFER G CARROLL CRNA) exists in 1932291903 in HTML format HTML  |  1932291903 in plain Text format TXT  |  1932291903 in PDF (Portable Document Format) PDF  |  1932291903 in an XML format XML  formats.

NPI Number : 1932291903 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932291903",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARROLL",
    "FirstName": "JENNIFER",
    "MiddleName": "G",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GLANVILLE",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "CAROLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "252 GREAT PLAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANBURY",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06811-3152",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-258-4358",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "310 E. 14TH STREET",
    "SecondLinePracticeLocationAddress": "NY EYE & EAR INFIRMARY",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-979-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "07/17/2024",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "RN10005627",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "003576",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "587562-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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