{"npi":"1629199633","type":"NPI-1","status":"active","name":{"display":"Mrs. Jacqueline Fraiser Crnp","other":[],"first":"JACQUELINE","last":"FRAISER","middle":"A","credential":"CRNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"MS","license":"R851578"}]},"addresses":[{"purpose":"LOCATION","street_1":"2601 GETWELL RD STE 1","city":"CORINTH","state":"MS","postal_code":"388346762","country_code":"US","phone":"6622877138","fax":"6622877157"},{"purpose":"MAILING","street_1":"2601 GETWELL RD","city":"CORINTH","state":"MS","postal_code":"388346762","country_code":"US","street_2":"STE 1","phone":"6622877138","fax":"6622877157"}],"license":{"state":"MS","number":"R851578"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02488503","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070905000713","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"3577656669"}]},"enumeration_date":"2007-04-03","last_updated":"2021-07-08","_meta":{"source":"NPPES","snapshot_date":"2021-07-08","doc_url":"https://findmynpi.com/api"}}