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NPI Code Detail

MEDICARE: MRS. MARY ELLEN HOOD APRN

MEDICARE:  MRS. MARY ELLEN HOOD  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner363LF0000XLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922151000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ELLEN HOOD APRN
Provider Business Mailing Address
First Line : PO BOX 380
Second Line :
City : BUNKIE
State : LA
Zip : 71322-0380
Country : US
Telephone Number : 318-346-7283
Fax Number : 318-346-9859
Provider Business Practice Location Address
First Line : 109 N LEXINGTON AVE
Second Line :
City : BUNKIE
State : LA
Zip : 71322-1619
Country : US
Telephone Number : 318-346-7283
Fax Number : 318-346-9859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 10/23/2014

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Directions to “ MRS. MARY ELLEN HOOD APRN” Practice Location

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