Mary K Long in Jacksonville - Physician Assistant
Mary K Long - NPI 1497840326
Mary K Long is a Physician Assistant in Jacksonville, Florida. Mary K Long practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary K Long is 1497840326. The last update date is 2020-10-22.
Mary K Long's current location address is 6500 Bowden Rd Ste 103, Jacksonville, Florida. You can contact this provider via phone number 9046340640 and fax number 9046340203. The mailing address for Mary K Long is 6500 Bowden Rd Ste 103, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Long |
|---|---|
| Address | 6500 Bowden Rd Ste 103, Jacksonville, Florida |
| Phone Number | 9046340640 |
| Fax Number | 9046340203 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497840326 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 6500 Bowden Rd Ste 103 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322168066 |
| Phone Number | 9046340640 |
| Fax Number | 9046340203 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0003154 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Mary K Long by the Centers for Medicare & Medicaid Services?
The Mary K Long has been issued the NPI (National Provider Identifier) 1497840326. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary K Long is located?
The Mary K Long is situated at the following address: 6500 Bowden Rd Ste 103, Jacksonville, FL, 322168066.
What is the area of specialization for Mary K Long, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary K Long is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497840326 to Mary K Long?
The Mary K Long received its 1497840326 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Mary K Long last refreshed?
The information related to the Mary K Long, including its address, specialty, and other relevant details, was last updated on 2020-10-22.