Mary Lucille Jansma in Longview - Nurse Practitioner
Mary Lucille Jansma - NPI 1811060874
Mary Lucille Jansma is a Nurse Practitioner in Longview, Washington. Mary Lucille Jansma practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Lucille Jansma is 1811060874. The last update date is 2007-11-14.
Mary Lucille Jansma's current location address is Po Box 3002, Longview, Washington. You can contact this provider via phone number 3604142177 and fax number 3604142210. The mailing address for Mary Lucille Jansma is Po Box 3002, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lucille Jansma |
|---|---|
| Address | Po Box 3002, Longview, Washington |
| Phone Number | 3604142177 |
| Fax Number | 3604142210 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1811060874 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | Po Box 3002 |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986320302 |
| Phone Number | 3604142177 |
| Fax Number | 3604142210 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30005737 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9652611 | WA | -- | |
| 8944406 | WA | CRIME VICTIMS | |
| 220991 | WA | LABOR & IND. |
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What is the unique 10-digit identification code issued to Mary Lucille Jansma by the Centers for Medicare & Medicaid Services?
The Mary Lucille Jansma has been assigned the NPI (National Provider Identifier) 1811060874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mary Lucille Jansma located?
The Mary Lucille Jansma is located at Po Box 3002, Longview, WA 986320302.
What is Mary Lucille Jansma's area of expertise and its corresponding taxonomy classification?
The Mary Lucille Jansma's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
When did the Mary Lucille Jansma receive its 1811060874?
The Mary Lucille Jansma was issued its 1811060874 on 2006-11-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mary Lucille Jansma most recently updated or revised?
The information pertaining to Mary Lucille Jansma, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY