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1982144754 NPI number — NANCY JEAN GREEN PMHNP-BC

NPI Number: 1982144754
Health Care Provider/Practitioner: NANCY JEAN GREEN PMHNP-BC

Information about “1982144754” NPI (NANCY JEAN GREEN PMHNP-BC) exists in 1982144754 in HTML format HTML  |  1982144754 in plain Text format TXT  |  1982144754 in PDF (Portable Document Format) PDF  |  1982144754 in an XML format XML  formats.

NPI Number : 1982144754 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982144754",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREEN",
    "FirstName": "NANCY",
    "MiddleName": "JEAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VANSANDT",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PMHNP-BC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10197 LAKE FOREST DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VANCLEAVE",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39565-2010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-480-7207",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 VETERANS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BILOXI",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39531-2410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-523-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/27/2017",
    "LastUpdateDate": "05/18/2023",
    "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": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "901974",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "903936",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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