{
"Npi": {
"NPI": "1962301549",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRINKLEY",
"FirstName": "STEPHANIE",
"MiddleName": "LEE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "295 SATILLA CHURCH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JESUP",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31545-2704",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-427-1077",
"MailingAddressFaxNumber": "912-427-1079",
"FirstLinePracticeLocationAddress": "1425 W ORANGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JESUP",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31545-0717",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-427-1077",
"PracticeLocationAddressFaxNumber": "912-427-1079",
"EnumerationDate": "11/02/2026",
"LastUpdateDate": "11/02/2026",
"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": "163WS0200X",
"TaxonomyName": "School Registered Nurse",
"LicenseNumber": "RN222398",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}