Wharton, Mary Jacqueline

Wharton, Mary Jacqueline is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wharton, Mary Jacqueline can be contacted via phone (765) 660-6900.

Contact Information

Primary practice address
441 N Wabash Ave Marion IN 46952-2612
Phone: (765) 660-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28209999A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 28209999A Indiana

Profile Details

NPI number 1992265904
LBN Legal business name Wharton, Mary Jacqueline
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Jun 11th, 2019 - about 5 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 1992265904 NPPES
Indiana Other 000001270272 ANTHEM
Indiana MEDICAID 300025020 ANTHEM

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