NPI 1881095628 · live from the CMS NPI Registry
Mary Jane Blair, Registered Nurse
Registered Nurse in Fort Stewart, GA. National Provider Identifier 1881095628, active.
NPI record
| NPI | 1881095628 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 1061 Harmon Ave, Fort Stewart, GA 31314 |
| Practice phone | 912-315-6430 |
| Enumerated | September 11, 2014 |
| Last updated | September 11, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | 076046 (IA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 076046 (IA) |
| Registered Nurse, Case Management | 163WC0400X | 076046 (IA) |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 076046 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.