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1972215226 NPI number — JESSICA MARIE STATON NP

NPI Number: 1972215226
Health Care Provider/Practitioner: JESSICA MARIE STATON NP

Information about “1972215226” NPI (JESSICA MARIE STATON NP) exists in 1972215226 in HTML format HTML  |  1972215226 in plain Text format TXT  |  1972215226 in PDF (Portable Document Format) PDF  |  1972215226 in an XML format XML  formats.

NPI Number : 1972215226 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972215226",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STATON",
    "FirstName": "JESSICA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6347 COONEY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELTON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49046-7751",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-598-1810",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8653 N 32ND ST STE 1C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49083-9494",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-225-3105",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2022",
    "LastUpdateDate": "12/19/2022",
    "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": "4704293156",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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