Hancock, Mary Jane

Hancock, Mary Jane is an individual health care provider with primary practice located at 2451 Fillingim St Mastin 102, Mobile AL 36617-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hancock, Mary Jane can be contacted via phone (251) 470-5890.

Contact Information

Primary practice address
2451 Fillingim St Mastin 102 Mobile AL 36617-2238
Phone: (251) 470-5890
Fax: (251) 471-7925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-079750 Alabama

Profile Details

NPI number 1417028903
LBN Legal business name Hancock, Mary Jane
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated May 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417028903 NPPES
Alabama Other 51540552 BCBS - MED PK DR
Alabama Other 51538577 BCBS - MED PK DR
Alabama MEDICAID 02332297 BCBS - MED PK DR
Alabama MEDICAID 891013340 BCBS - MED PK DR
Alabama MEDICAID 308131100 BCBS - MED PK DR
Alabama MEDICAID 891013570 BCBS - MED PK DR

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