Healthcare Provider Details

I. General information

NPI: 1902649486
Provider Name (Legal Business Name): MARY FRANCIS RICE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY FRANCIS WILSON RN

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 W MALL DR
FLORENCE AL
35630-1563
US

IV. Provider business mailing address

18201 TILLMAN MILL RD
ATHENS AL
35614-5015
US

V. Phone/Fax

Practice location:
  • Phone: 256-871-5918
  • Fax:
Mailing address:
  • Phone: 256-810-9025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1149383
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-149383
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: