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1932702248 NPI number — NICHELLE BURRISON PHARMD

NPI Number: 1932702248
Health Care Provider/Practitioner: NICHELLE BURRISON PHARMD

Information about “1932702248” NPI (NICHELLE BURRISON PHARMD) exists in 1932702248 in HTML format HTML  |  1932702248 in plain Text format TXT  |  1932702248 in PDF (Portable Document Format) PDF  |  1932702248 in an XML format XML  formats.

NPI Number : 1932702248 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932702248",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURRISON",
    "FirstName": "NICHELLE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "408 EMILY CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOCKBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30281-1584",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-507-1151",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2720 HIGHWAY 42 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCDONOUGH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30253-4301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-432-9450",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2020",
    "LastUpdateDate": "11/18/2020",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RPH031530",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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