MARY JANE TEETERS APRN NPI 1629518410

NPI Information

NPI: 1629518410
Provider Name: MARY JANE TEETERS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 BRIANNA BOULEVARD
SUITE 100
SALYERSVILLE, KY
ZIP 41465
Phone: (606) 349-3800
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Mary Jane Teeters, APRN is a family nurse practitioner in Salyersville, KY. Mary Jane Teeters, APRN NPI is 1629518410. 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:

100 BRIANNA BOULEVARD
SUITE 100
SALYERSVILLE, KY
ZIP 41465-811
Phone: (606) 349-3800
Fax: (606) 263-5619

The NPI 1629518410 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 2/28/2017 and was last updated on 5/9/2017.

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	3010972	KENTUCKY	Yes

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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