NPI 1871099036 · live from the CMS NPI Registry
Mary Jane Cleghorn, RN
Registered Nurse, Psych/Mental Health, Adult in Gainesville, GA. National Provider Identifier 1871099036, active.
NPI record
| NPI | 1871099036 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 5563 Concord Cir, Gainesville, GA 30507 |
| Practice phone | 770-530-2137 |
| Enumerated | April 4, 2018 |
| Last updated | June 16, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | RN106126 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.