MARY JO DOVALE CNS NPI 1629030556

NPI Information

  • NPI: 1629030556
  • Provider Name: MARY JO DOVALE, CNS
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 2401 S 31ST ST
    TEMPLE, TX
    ZIP 76508
  • Phone: (254) 724-2111

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NPI Details

Mary Jo Dovale, CNS is a clinical nurse specialist in Temple, TX. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Mary Jo Dovale, CNS NPI is 1629030556. 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:

2401 S 31ST ST
TEMPLE, TX
ZIP 76508-001
Phone: (254) 724-2111

The enumeration date for this NPI number is 4/5/2006 and was last updated on 7/11/2007.

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
1364S00000XClinical Nurse Specialist525206TEXASYes

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
1S98040MEDICARE UPINTEXAS
28N8998OTHERTEXASBLUE SHIELD
38D8330MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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: 3/30/2025

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