MARY JO METRICK ARNP MSN NPI 1730120429

NPI Information

NPI: 1730120429
Provider Name: MARY JO METRICK, ARNP MSN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
571 S FLOYD ST
STE 342
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-8470
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Mary Jo Metrick, ARNP MSN is a neonatal nurse practitioner in Louisville, KY. Mary Jo Metrick, ARNP MSN NPI is 1730120429. 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:

571 S FLOYD ST
STE 342
LOUISVILLE, KY
ZIP 40202-818
Phone: (502) 852-8470

The enumeration date for this NPI number is 6/10/2006 and was last updated on 3/12/2020.

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	363LN0000X	Nurse Practitioner	Neonatal	1040956	KENTUCKY	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	78007366	MEDICAID	KENTUCKY

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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