MRS. MARY JANE SMITH (NPI# 1598310740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598310740 |
| Entity Type | Individual |
| Full Name | MRS. MARY JANE SMITH |
| Credential | CRNP |
| Practice Address |
3750 Professional Pkwy Mobile AL 36609-5407 |
| Mailing Address |
202 Roper St Mobile AL 36604-2920 |
| Practice Telephone | 2514600999 |
| Mailing Telephone | 2513665099 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-112783 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
3750 PROFESSIONAL PKWY |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033452826 | Robert David Crist | Dentist | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1760843981 | Tatianne Bell | Nurse Practitioner | 3862 Cypress Shores Dr N, Mobile, AL 36619-9713 | 2016-03-15 |
| 1639298540 | Linda Sullivan | Nurse Practitioner | 210 Government St, Mobile, AL 36602-2614 | 2007-03-29 |
| 1518924828 | Kim Havas | Nurse Practitioner | 3737 Government Blvd, Ste 408, Mobile, AL 36693-4308 | 2006-04-28 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1518424266 | Kelly Vincent Dauenheimer | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2019-02-28 |
| 1043774664 | Rachael Hughes Taylor | Nurse Practitioner | 22 Mobile St, Mobile, AL 36607-3121 | 2019-01-28 |
| 1750888921 | Roselee Roxane Fenley | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-04-12 |
| 1477059392 | Zakiyyah Jones | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-03-30 |
| 1356872212 | Paul Ryland Murden | Nurse Practitioner | 5 Mobile Infirmary Cir, Psych Services, Mobile, AL 36607-3513 | 2017-03-22 |
| Find all providers in MOBILE | ||||
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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.