Mary Wynette Mccrackin in Jacksonville - Family
Mary Wynette Mccrackin - NPI 1417060781
Mary Wynette Mccrackin is a Family in Jacksonville, Florida. Mary Wynette Mccrackin practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Wynette Mccrackin is 1417060781. The last update date is 2018-10-15.
Mary Wynette Mccrackin's current location address is 6555 Chester Ave Ste 1, Jacksonville, Florida. You can contact this provider via phone number 9042658209 and fax number 9045033577. The mailing address for Mary Wynette Mccrackin is 6555 Chester Ave Ste 1, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Wynette Mccrackin |
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Address | 6555 Chester Ave Ste 1, Jacksonville, Florida |
Phone Number | 9042658209 |
Fax Number | 9045033577 |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1417060781 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2018-10-15 |
Provider Mailing Address Detail
Address | 6555 Chester Ave Ste 1 |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322172279 |
Phone Number | 9042658209 |
Fax Number | 9045033577 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | ARNP3025322 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
18341300 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Wynette Mccrackin by the Centers for Medicare & Medicaid Services?
The Mary Wynette Mccrackin has been assigned the NPI (National Provider Identifier) 1417060781. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Wynette Mccrackin?
The Mary Wynette Mccrackin is situated at 6555 Chester Ave Ste 1, in the city of Jacksonville, state of FL, with the zip code 322172279.
What is Mary Wynette Mccrackin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Wynette Mccrackin is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When did Mary Wynette Mccrackin receive its 1417060781 assignment?
The Mary Wynette Mccrackin was assigned its 1417060781 on 2006-08-17, which is the date when this unique identifier was issued to the organization.
As of what date were the Mary Wynette Mccrackin's details last updated?
The information pertaining to the Mary Wynette Mccrackin, including its address, specialty, and other details, was most recently updated on 2018-10-15.
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