Healthcare Provider Details

I. General information

NPI: 1356298319
Provider Name (Legal Business Name): MARIAH HOPE MCCANN MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CORNERSTONE DR
BRUNSWICK GA
31523-4214
US

IV. Provider business mailing address

100 CORNERSTONE DR
BRUNSWICK GA
31523-4214
US

V. Phone/Fax

Practice location:
  • Phone: 912-262-0311
  • Fax:
Mailing address:
  • Phone: 912-262-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP303429
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: