Sturgis, Mary Jean

Sturgis, Mary Jean is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sturgis, Mary Jean can be contacted via phone (803) 774-5279.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Fax: (803) 774-5226
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 604 South Carolina

Profile Details

NPI number 1700919842
LBN Legal business name Sturgis, Mary Jean
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 6th, 2011 - about 13 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 1700919842 NPPES
South Carolina MEDICAID NP0551

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