MARY JANE FISH (NPI# 1649370594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649370594 |
| Entity Type | Individual |
| Full Name | MARY JANE FISH |
| Credential | RN |
| Practice Address |
1215 N Peacock Ave Perry FL 32347-2117 |
| Practice Telephone | 8505845087 |
| Practice Fax Number | 8505848653 |
| Mailing Telephone | 8505845087 |
| Mailing Fax Number | 8505848653 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN3201812 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730693755 | Mary Elizabeth Fish | Counselor | 2417 W Bank Dr, Boise, ID 83705-2570 | 2017-11-29 |
| 1891328159 | Mary Markayla Fish | Behavior Technician | 480 Route 6a, East Sandwich, MA 02537-1438 | 2020-02-14 |
| Street Address |
1215 N PEACOCK AVE |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511915 | Florida Department of Health | Public Health or Welfare | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-03-09 |
| 1467013466 | Macy Ely | Nurse Practitioner | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2019-06-21 |
| 1124418215 | Donna Knight | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2015-01-28 |
| 1780937664 | Rachel D Padgett | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2012-10-17 |
| 1467752428 | Duane James Barnes | Social Worker | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2010-10-25 |
| 1114937026 | Brenda L Newman | Advanced Practice Midwife | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-08-09 |
| 1992724876 | Laura L Early | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-19 |
| 1962421370 | Catharine H Jacob | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1235158676 | Julie C Gaston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1063447290 | Alissa S Mcquiston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992724876 | Laura L Early | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-19 |
| 1962421370 | Catharine H Jacob | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1235158676 | Julie C Gaston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1063447290 | Alissa S Mcquiston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238800 | Zendra Latura Hansley | Registered Nurse | 5763 Saint Isabel Dr, Jacksonville, FL 32277-1761 | 2020-09-01 |
| 1952930158 | Tennille A Lott | Registered Nurse | 16638 Sunrise Vista Dr, Clermont, FL 34714-4969 | 2020-04-08 |
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| 1437706579 | Martie B Granieri | Registered Nurse | 6609 Bishopgate Ln, Naples, FL 34104-8310 | 2019-08-22 |
| 1699338129 | Japonica Nikkitta Ferrell | Registered Nurse | 11703 Sweet Serenity Ln Unit 204, New Port Richey, FL 34654-4565 | 2019-04-19 |
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1962983387 | Ashley Elizabeth Haley | Registered Nurse | 3697 Lake Emma Rd Ste 126, Lake Mary, FL 32746-6121 | 2018-08-23 |
| 1851882120 | Lottie Cuthbertson | Registered Nurse | 4534 21st Ave S, St Petersburg, FL 33711-2914 | 2018-05-22 |
| 1396235404 | Michelle Cole Dudley | Registered Nurse | 55 Inlet Harbor Rd # 8, Ponce Inlet, FL 32127-7272 | 2018-05-14 |
| 1326545732 | Adrienna D Neal | Registered Nurse | 909 Bordeaux Pl, Orlando, FL 32808-7734 | 2018-04-11 |
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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.