MAUREEN A SPAIN N.P. NPI 1194770024

NPI Information

NPI: 1194770024
Provider Name: MAUREEN A SPAIN, N.P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
8626 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 772-5937
Get Directions

Maureen A Spain, N.P. is a psychiatric/mental health nurse practitioner in Southaven, MS with 25 years of experience. Maureen A Spain, N.P. NPI is 1194770024. 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:

8626 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-603
Phone: (662) 772-5937
Fax: (662) 772-5940

The NPI 1194770024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 12/6/2021.

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	363L00000X	Nurse Practitioner		APN7656	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	000196	MISSISSIPPI	Yes
3	363LN0000X	Nurse Practitioner	Neonatal	2009034350	MISSOURI	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	7656	TENNESSEE	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	184206	MONTANA	No

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	3495342	MEDICAID	TENNESSEE
2	NA	OTHER	MISSISSIPPI	SUBMITTING CREDENTIALING APPLICATIONS CURRENTLY

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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