Tina U. Mabry is a Family in Lake, Mississippi. Tina U. Mabry practices all healthcare services and medical treatments related to Family. The NPI Number for Tina U. Mabry is 1003898859. The last update date is 2013-11-06.
Tina U. Mabry's current location address is 24489 Highway 80, Lake, Mississippi. You can contact this provider via phone number 6017753264 and fax number 6017753097. The mailing address for Tina U. Mabry is 24489 Highway 80, Lake, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina U. Mabry |
|---|---|
| Address | 24489 Highway 80, Lake, Mississippi |
| Phone Number | 6017753264 |
| Fax Number | 6017753097 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1003898859 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2013-11-06 |
Provider Mailing Address Detail
| Address | 24489 Highway 80 |
|---|---|
| City | Lake |
| State | Mississippi (MS) |
| Post Code | 390923511 |
| Phone Number | 6017753264 |
| Fax Number | 6017753097 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R588199 |
|
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 |
|---|---|---|---|
| 13436 | MS | -- | |
| 500008623 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Tina U. Mabry's 1003898859?
The Tina U. Mabry's NPI (National Provider Identifier) Number is 1003898859. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tina U. Mabry?
The Tina U. Mabry is physically situated at 24489 Highway 80, in the city of Lake, state of MS, with the postal code 390923511.
What is the Tina U. Mabry's area of specialization and corresponding taxonomy classification?
The Tina U. Mabry's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003898859 to Tina U. Mabry?
The Centers for Medicare & Medicaid Services assigned the 1003898859 to Tina U. Mabry on 2005-11-17.
As of what date were the Tina U. Mabry's details last updated?
The information pertaining to the Tina U. Mabry, including its address, specialty, and other details, was most recently updated on 2013-11-06.
NPI Number: 1194728618
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