Doctor Name: | MRS. JENNIFER NICOLE MAYS |
NPI Number: | 1316382922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 28188638A |
Business Practice Address: | 13821 Leo Rd Leo, IN - 467659400 |
Business Phone Number: | 2605530994 |
Business Fax Number: | |
Mailing Address: | 409 S Harrison St, GARRETT |
State: | IN |
Postal Code: | 467381537 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/09/2013 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28188638A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |