MARY JANE GRIFFITH MSN RN GNP-BC ACH NPI 1548596042

NPI Information

NPI: 1548596042
Provider Name: MARY JANE GRIFFITH, MSN, RN, GNP-BC, ACH
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
920 DOUG WHITE DR STE 250
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 236-1950
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Mary Jane Griffith, MSN, RN, GNP-BC, ACH is a gerontology nurse practitioner in Myrtle Beach, SC. Mary Jane Griffith, MSN, RN, GNP-BC, ACH NPI is 1548596042. 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:

920 DOUG WHITE DR STE 250
MYRTLE BEACH, SC
ZIP 29572-181
Phone: (843) 236-1950
Fax: (843) 236-1952

The NPI 1548596042 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 10/19/2009 and was last updated on 1/13/2022.

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	363LG0600X	Nurse Practitioner	Gerontology	17481	SOUTH CAROLINA	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	1548596042	OTHER	SOUTH CAROLINA	PENDING
2	NP1872	MEDICAID	SOUTH CAROLINA

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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