MARY ANN LIGHT APN NPI 1720095086

NPI Information

  • NPI: 1720095086
  • Provider Name: MARY ANN LIGHT, APN
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 796 RIDGEWAY AVE
    SIGNAL MOUNTAIN, TN
    ZIP 37377
  • Phone: (423) 886-3269

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NPI Details

Mary Ann Light, APN is a nurse practitioner in Signal Mountain, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Mary Ann Light, APN NPI is 1720095086. 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:

796 RIDGEWAY AVE
SIGNAL MOUNTAIN, TN
ZIP 37377-067
Phone: (423) 886-3269

The enumeration date for this NPI number is 8/1/2006 and was last updated on 6/28/2013.

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
1363LF0000XNurse PractitionerFamily12784TENNESSEENo
2363L00000XNurse Practitioner1-052430ALABAMAYes

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
1891010020MEDICAIDALABAMA
23341381MEDICARE PINTENNESSEE
3S11086MEDICARE UPINALABAMA
4051556426MEDICARE ID-TYPE UNSPECIFIEDALABAMAFORT PAYNE
5891010030MEDICAIDALABAMA
6051530066OTHERALABAMABC FORT PAYNE
7051530068OTHERALABAMABC BOAZ

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: 11/21/2025

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