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1982052429 NPI number — DANIELLE JACOLE COLEMAN FNP-C

NPI Number: 1982052429
Health Care Provider/Practitioner: DANIELLE JACOLE COLEMAN FNP-C

Information about “1982052429” NPI (DANIELLE JACOLE COLEMAN FNP-C) exists in 1982052429 in HTML format HTML  |  1982052429 in plain Text format TXT  |  1982052429 in PDF (Portable Document Format) PDF  |  1982052429 in an XML format XML  formats.

NPI Number : 1982052429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982052429",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLEMAN",
    "FirstName": "DANIELLE",
    "MiddleName": "JACOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SIMMONS",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "JACOLE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3324 RIDGE BROOK TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DULUTH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30096-6892",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2150 PEACHFORD RD STE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30338",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-205-4322",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/25/2016",
    "LastUpdateDate": "09/07/2018",
    "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": "R220962",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN203602",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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