MARY JEANNE MINER FNP NPI 1952398109

NPI Information

NPI: 1952398109
Provider Name: MARY JEANNE MINER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
CHICO STATE UNIVERSITY STUDENT HEALTH
WARNER AVE & COLLEGE DR
CHICO, CA
ZIP 95929
Phone: (530) 898-5241
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Mary Jeanne Miner, FNP is a family nurse practitioner in Chico, CA. Mary Jeanne Miner, FNP NPI is 1952398109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CHICO STATE UNIVERSITY STUDENT HEALTH
WARNER AVE & COLLEGE DR
CHICO, CA
ZIP 95929-001
Phone: (530) 898-5241
Fax: (530) 898-4057

The enumeration date for this NPI number is 10/3/2005 and was last updated on 3/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP 14975	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP 14975	OTHER	CALIFORNIA	NURSE PRACTITIONER CERTIF
2	RN271495	MEDICAID	CALIFORNIA
3	NPF 14975	OTHER	CALIFORNIA	NP FURNISHING NUMBER
4	RN 271495	OTHER	CALIFORNIA	RN LICENSE NUMBER
5	Q33961	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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