MS. MARY LOVE MCINNIS (NPI# 1790894996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790894996 |
| Entity Type | Individual |
| Full Name | MS. MARY LOVE MCINNIS |
| Credential | P.T. |
| Practice Address |
1500 E Woodrow Wilson Ave Jackson MS 39216-5116 |
| Mailing Address |
Po Box 466 1007 Second Street Wesson MS 39191-0466 |
| Practice Telephone | 6013624471 |
| Practice Fax Number | 6013684456 |
| Mailing Telephone | 6013624471 |
| Mailing Fax Number | 6013684456 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT0233 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134399751 | Mary Angela Mcinnis | Registered Nurse | 1303 Elk River Rd, Tyler, TX 75703-7456 | 2008-03-11 |
| Street Address |
1500 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974974 | Karen Tischler | Physical Therapist | 202 White Rd, Jackson, NJ 08527-5014 | 2018-09-05 |
| 1619410925 | Sarah Margaret Kelber | Physical Therapist | 2 Bailey Ct, Jackson, NJ 08527-4459 | 2016-11-18 |
| 1932540648 | Elena Maria Miller | Physical Therapist | 581 Zachary Ln, Jackson, TN 38305-5679 | 2013-07-10 |
| 1801362272 | Soundararajan Duraisamy | Physical Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-23 |
| 1912377797 | Margaret Shrader | Physical Therapist | 5411 I 55 N, Jackson, MS 39206-3616 | 2015-10-06 |
| 1124362793 | Helen Smith | Physical Therapist | 29 N Star Dr, Ste. E, Jackson, TN 38305-6656 | 2012-11-20 |
| 1609127083 | Rehabilitation Consultants | Physical Therapist | 820 Cooper Rd Ste J, Jackson, MS 39212-4099 | 2012-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336496363 | Lea Marie Campbell | Physical Therapist | 5 Chandeluer Cv, Ocean Springs, MS 39564-5045 | 2012-08-09 |
| 1730416678 | Virginia Claire Kolvites | Physical Therapist | 135 Pinehills Dr, Hattiesburg, MS 39402-3317 | 2009-11-13 |
| 1083105969 | Kelly Coker Dabbs | Physical Therapist | 1215 Earl Frye Blvd, Amory, MS 38821 | 2018-05-25 |
| 1063805240 | Mark Orson Harris | Physical Therapist | 15476a Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-11 |
| 1528463486 | Marionette Yarbrough | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2014-11-04 |
| 1972927341 | Steven Burch | Physical Therapist | 514 Bay St, Hattiesburg, MS 39401-3933 | 2014-02-05 |
| 1417398942 | Sarah Anne Schroeder | Physical Therapist | 100 La Rosa Rd Ste A, Long Beach, MS 39560-4000 | 2013-07-12 |
| 1568595908 | Spring Kimberly Walters | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2007-03-14 |
Please comment or provide details below to improve the information on MS. MARY LOVE MCINNIS.
| 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.