MARVELL SPEARS FNP NPI 1548365901

NPI Information

NPI: 1548365901
Provider Name: MARVELL SPEARS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2045 HIGHWAY 61 NORTH
PORT GIBSON, MS
ZIP 39150
Phone: (601) 437-3050
Get Directions

Marvell Spears, FNP is a family nurse practitioner in Port Gibson, MS with 26 years of experience. Marvell Spears, FNP NPI is 1548365901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2045 HIGHWAY 61 NORTH
PORT GIBSON, MS
ZIP 39150-262
Phone: (601) 437-3050
Fax: (601) 437-3051

The NPI 1548365901 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 9/13/2006 and was last updated on 1/13/2014.

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	363LF0000X	Nurse Practitioner	Family	R703923	MISSISSIPPI	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
1	Q01429	MEDICARE UPIN
2	500001336	MEDICARE OSCAR/CERTIFICATION
3	0119922	MEDICAID	MISSISSIPPI

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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