MARY JANE HANCOCK CRNP NPI 1417028903

NPI Information

NPI: 1417028903
Provider Name: MARY JANE HANCOCK, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2451 FILLINGIM ST
MASTIN 102
MOBILE, AL
ZIP 36617
Phone: (251) 470-5890
Get Directions

Mary Jane Hancock, CRNP is an acute care nurse practitioner in Mobile, AL. Mary Jane Hancock, CRNP NPI is 1417028903. 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:

2451 FILLINGIM ST
MASTIN 102
MOBILE, AL
ZIP 36617-238
Phone: (251) 470-5890
Fax: (251) 471-7925

The NPI 1417028903 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 11/13/2006 and was last updated on 5/16/2014.

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	363LA2100X	Nurse Practitioner	Acute Care	1-079750	ALABAMA	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	51540552	OTHER	ALABAMA	BCBS - MED PK DR
2	02332297	MEDICAID	MISSISSIPPI
3	891013570	MEDICAID	ALABAMA
4	51538577	OTHER	ALABAMA	BCBS - STANTON RD
5	051558319	MEDICARE PIN	ALABAMA
6	OTH000	MEDICARE UPIN	ALABAMA
7	308131100	MEDICAID	FLORIDA
8	891013340	MEDICAID	ALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »