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1982050761 NPI number — JENNIFER BROWN

NPI Number: 1982050761
Health Care Provider/Practitioner: JENNIFER BROWN

Information about “1982050761” NPI (JENNIFER BROWN) exists in 1982050761 in HTML format HTML  |  1982050761 in plain Text format TXT  |  1982050761 in PDF (Portable Document Format) PDF  |  1982050761 in an XML format XML  formats.

NPI Number : 1982050761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982050761",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "120 E CEDAR ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FERNLEY",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89408-8508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-276-7004",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "415 US HIGHWAY 95A S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FERNLEY",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89408-9261",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-575-2284",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/10/2016",
    "LastUpdateDate": "12/23/2020",
    "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": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225C00000X",
          "TaxonomyName": "Rehabilitation Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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