Active NPIIndividual provider

Mary A Light, APN

Nurse Practitioner in Signal Mountain, Tennessee

NPI Number1720095086
Practice location
796 Ridgeway Ave, Signal Mountain, TN 37377-3067
Fax
—
Last updated
June 28, 2013

Mary Ann Light is a Nurse Practitioner based in Signal Mountain, TN. Mary Ann Light practices in Signal Mountain, TN and has the professional credentials of APN. The NPI Number for Mary Ann Light is 1720095086 and holds a License No. 1-052430 (AL). The current practice location address for Mary Ann Light is 796 Ridgeway Ave, Signal Mountain, TN 37377-3067 and can be reached out via phone at 423-886-3269.

Provider Profile Details

NPI Number
1720095086
Provider Name
Mary Ann Light
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
796 Ridgeway Ave, Signal Mountain, TN 37377-3067
Phone Number
423-886-3269
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2006
Last Update Date
June 28, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
796 Ridgeway Ave
Signal Mountain, TN 37377-3067
Zip
37377-3067
Phone Number
423-886-3269
Signal Mountain, TN 37377Get directions →

Provider Business Mailing Address Details

Address
Po Box 772
Woonsocket, RI 02895-0784
City
Woonsocket
State
RI
Zip
02895-0784
Phone Number
401-770-5779
Fax Number
401-652-9787

License Information

License Number (1)
1-052430
License State (1)
AL
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
12784
License State (2)
TN
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary A Light, APN?

The NPI number of Mary A Light, APN is 1720095086. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary A Light, APN?

Mary A Light, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in AL under license number 1-052430.

Where does Mary A Light, APN practice?

The practice location is 796 Ridgeway Ave, Signal Mountain, TN 37377-3067. The office can be reached at 423-886-3269 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720095086 directly on the NPPES registry website.

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