{
"Npi": {
"NPI": "1942647532",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MESSER",
"FirstName": "JACQUELYN",
"MiddleName": "RYAN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "APRN, CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "COOK",
"OtherFirstName": "JACQUELYN",
"OtherMiddleName": "RYAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1000 E 1ST ST",
"SecondLineMailingAddress": "STE. N203",
"MailingAddressCityName": "DULUTH",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55805-2297",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "218-249-6960",
"MailingAddressFaxNumber": "218-249-6969",
"FirstLinePracticeLocationAddress": "400 E 3RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DULUTH",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55805-1951",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "218-786-8364",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2013",
"LastUpdateDate": "01/12/2021",
"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": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "185004-2",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}