Jamie Lyn Mabry is a Family in Herrin, Illinois. Jamie Lyn Mabry practices all healthcare services and medical treatments related to Family. The NPI Number for Jamie Lyn Mabry is 1902812688. The last update date is 2008-05-20.
Jamie Lyn Mabry's current location address is 201 S 14th St, Herrin, Illinois. You can contact this provider via phone number 6189422171. The mailing address for Jamie Lyn Mabry is 201 S 14th St, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Lyn Mabry |
|---|---|
| Address | 201 S 14th St, Herrin, Illinois |
| Phone Number | 6189422171 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APN/CNP |
NPI Number Detail
| NPI Number | 1902812688 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 201 S 14th St |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629483631 |
| Phone Number | 6189422171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209006061 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00428389 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Jamie Lyn Mabry's 1902812688?
The Jamie Lyn Mabry's NPI (National Provider Identifier) Number is 1902812688. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jamie Lyn Mabry?
The Jamie Lyn Mabry is situated at 201 S 14Th St, in the city of Herrin, state of IL, with the zip code 629483631.
What is Jamie Lyn Mabry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jamie Lyn Mabry is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1902812688 assigned to Jamie Lyn Mabry?
The Jamie Lyn Mabry was issued its 1902812688 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jamie Lyn Mabry most recently updated or revised?
The details related to Jamie Lyn Mabry, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-20.