MARY JAZAYERI


Address: 704 S Webster Ave, Green Bay, WI 54301-3528
Phone: 9204310200

MARY JAZAYERI (NPI# 1518943836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518943836
Entity Type Individual
Full Name MARY JAZAYERI
Credential NP
Practice Address 704 S Webster Ave
Green Bay
WI 54301-3528
Practice Telephone 9204310200
Mailing Telephone 9204310200
Enumeration Date 2005-12-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 2198 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 704 S WEBSTER AVE
City GREEN BAY
State WI
Zip Code 54301-3528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932102787 Pamela C Baeten Internal Medicine 704 S Webster Ave, Ste 500, Green Bay, WI 54301-3528 2005-05-24
1164959680 Cynthia L Suplinski Nurse Practitioner 704 S Webster Ave, Green Bay, WI 54301-3528 2017-05-15
1073063681 Bellin Memorial Hospital Inc Internal Medicine 704 S Webster Ave, Suite 501, Green Bay, WI 54301-3528 2016-10-06
1265986731 Susan Molenaar Nurse Practitioner 704 S Webster Ave, Green Bay, WI 54301-3528 2016-08-12
1225403157 Bonnie L Dejardin Nurse Practitioner 704 S Webster Ave, Green Bay, WI 54301-3528 2015-12-03
1437531720 Bellin Memorial Hospital Inc Obstetrics & Gynecology 704 S Webster Ave, Suite 100 A, Green Bay, WI 54301-3533 2015-06-23
1841672516 Bellin Memorial Hospital Inc Obstetrics & Gynecology 704 S Webster Ave, Suite 100 B, Green Bay, WI 54301-3533 2015-06-18
1407295389 Michael Chistopher Popelars Dentist 704 S Webster Ave, Suite 402, Green Bay, WI 54301-3528 2013-06-24
1013350958 New Dermatology Group Ltd Dermatology 704 S Webster Ave, Green Bay, WI 54301-3528 2013-04-10
1235444225 Melissa A Anderson Nurse Practitioner 704 S Webster Ave, Suite 300, Green Bay, WI 54301-3528 2010-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023623832 Serena Ashour Nurse Practitioner 1215 Wirtz Ave, Green Bay, WI 54304-2547 2020-09-09
1245786441 Danielle Collier Nurse Practitioner 835 S Webster, Green Bay, WI 54301-3526 2016-08-28
1275087561 Kerri Schey Nurse Practitioner 2845 Greenbrier Rd Fl 1, Green Bay, WI 54311-6519 2016-08-04
1104205731 Maureen K Wery Nurse Practitioner 2845 Greenbrier Rd Fl 4, Green Bay, WI 54311-6519 2015-05-28
1295128239 Amanda Bachman Nurse Practitioner 1821 S Webster Avenue, Green Bay, WI 54307 2015-03-16
1851643498 Melissa Anne Smith Nurse Practitioner 2845 Greenbriar Road, Suite 320, Green Bay, WI 54208-8900 2012-10-05
1477856581 Holly Marie Kempers Nurse Practitioner 720 S Vanburen Suite 201, Green Bay, WI 54301 2010-12-10
1710900071 Constance Husman Nurse Practitioner 1381 W Mason St, Green Bay, WI 54303-2022 2006-07-26
1487603593 Kelly R Eells Nurse Practitioner 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 2006-05-08
1033168265 Deborah Lynn Decker Nurse Practitioner 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 2006-05-06
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

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.

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