MARY GARDNER (NPI# 1437795606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437795606 |
| Entity Type | Individual |
| Full Name | MARY GARDNER |
| Practice Address |
613 Marquette Rd Brandon MS 39042-3038 |
| Mailing Address |
Po Box 88 Brandon MS 39043-0088 |
| Practice Telephone | 6018240342 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903623 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254727 | Mary Gardner | Registered Nurse | 1234 Burlingham Rd, Pine Bush, NY 12566-7323 | 2016-02-06 |
| 1588086680 | Mary Katheryn Gardner | Dental Assistant | 18515 Mansel Ave, Redondo Beach, CA 90278-4642 | 2014-01-09 |
| 1780978809 | Mary S. Gardner | Pharmacist | 270 Central Pkwy, T-0989, Heath, OH 43056-1278 | 2011-06-06 |
| 1326292822 | Mary C. Gardner | Physical Therapist | 86 Cardinal Ln, Mandeville, LA 70471-6744 | 2008-11-11 |
| 1992884258 | Mary Elizabeth Gardner | Physical Therapist | 11022 Nicholas Ln, Suite 1, Ocean Pines, MD 21811-3352 | 2006-11-06 |
| 1306808985 | Mary Lambert Gardner | Psychologist | 9 Tulip Poplar Ct, Rosedale, MD 21237-3376 | 2006-04-06 |
| 1578545778 | Mary Frances Gardner | Nurse Practitioner | 600 Moye Boulvard, Greenville, NC 27858 | 2005-11-15 |
| 1508859703 | Mary S Gardner | Radiology | 171 Webb Dr, Davenport, FL 33837-3944 | 2005-08-24 |
| 1013518141 | Mary Frances Gardner | Technician | 3044 Thayer St Ne, Washington, DC 20018-2505 | 2020-11-04 |
| 1316568652 | Mary Stephany Gardner | Dental Hygienist | 12351 Dillingham Sq, Woodbridge, VA 22192-5251 | 2020-04-28 |
| Street Address |
613 MARQUETTE RD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730114117 | Eric Jermaine Warren | Psychiatry & Neurology | 613 Marquette Rd, Brandon, MS 39042-3038 | 2006-07-12 |
| 1871116111 | Hannah Nugent | Counselor | 613 Marquette Rd, Brandon, MS 39042-3038 | 2020-05-21 |
| 1073133948 | Lindsey Mckay | Counselor | 613 Marquette Rd, Brandon, MS 39042-3038 | 2020-04-21 |
| 1588208771 | William Scott Sumrall | Counselor | 613 Marquette Rd, Brandon, MS 39042-3038 | 2019-10-31 |
| 1164995197 | Bethany Erin Neese | Counselor | 613 Marquette Rd, Brandon, MS 39042-3038 | 2019-01-02 |
| 1013491992 | Brandy Nicole Newsome Byrd | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2018-09-18 |
| 1699296509 | Daniel Gerard Jemison | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2017-06-30 |
| 1871944652 | Nancy Mason | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2016-06-23 |
| 1356713903 | Mitzi Nichols Floyd | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2015-10-22 |
| 1861876310 | Rosanna Lea | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386656 | Megan Elizabeth Bogart | Nurse Practitioner | 1044 E Brandon Blvd Ste 2&3, Brandon, FL 33511-5509 | 2020-08-13 |
| 1922652049 | Roxian H Odom | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2019-07-26 |
| 1316509185 | Healthy Minds & Healing Hearts | Nurse Practitioner | 843 Viscount St, Brandon, FL 33511-6653 | 2019-07-02 |
| 1912565219 | Cynthia C Dukes | Nurse Practitioner | 910 Lake Dr Apt 4a, 910 Lake Dr Apt 4a, Brandon, MS 39042-3819 | 2019-05-31 |
| 1700390184 | Tritresher Sizer | Nurse Practitioner | 323 Kings Ridge Cir, Brandon, MS 39047-6031 | 2017-11-21 |
| 1073058020 | Michael George Shaw | Nurse Practitioner | 23 Pebble Hill Dr, Brandon, MS 39042-2140 | 2016-12-29 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| 1639294622 | Susan B Cintron | Nurse Practitioner | 611 Lakewood Dr, Brandon, FL 33510-2814 | 2007-03-20 |
| 1902946312 | Elizabeth Mary Haviland | Nurse Practitioner | 90 Whites Point Rd, Brandon, VT 05733-9214 | 2007-02-07 |
| 1669586996 | William Dwight Johnson | Nurse Practitioner | 613 Marquette Drive, Brandon, MS 39042 | 2006-08-17 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.