Mary Jane Crowder
Nurse Practitioner - Community Health
310 N River St Nw
Calhoun
, Georgia 30701-9408
Mary Jane Crowder
Nurse Practitioner - Community Health
310 N River St Nw
Calhoun
, Georgia 30701-9408
(706) 624-1450
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mary Jane Crowder
- 310 N River St Nw
- Calhoun, GA
- Zip : 30701-9408
- Fax : (706) 624-1450
- Phone : (706) 624-1444
Second Address
- Mary Jane Crowder
- 310 N River St Nw
- Calhoun, GA
- Zip : 30701-9408
- Fax : (706) 624-1450
- Phone : (706) 624-1444
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Is Mary Jane Crowder a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | RN042132 | GA |
National Provider Identifier
| NPI | 1861670952 |
|---|---|
| Provider Name | Mary Jane Crowder |
| First Address | Calhoun, GA 30701-9408 |
| Second Address | Calhoun, GA 30701-9408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2008 |
| Last Update Date | 12/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S24709 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.