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NPI Code Detail

MEDICARE: MARY L. GUTHRIE-JONES ARNP

MEDICARE: MARY L. GUTHRIE-JONES ARNP
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
1363L00000XNurse Practitioner3920PKY
2363LF0000XFamily Nurse Practitioner81002128N1OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23920POTHERKYKENTUCKY
381002128N1OTHEROROREGON

General Provider Information

NPI Number : 1518903194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY L. GUTHRIE-JONES ARNP
Provider Business Mailing Address
First Line : 225 RED CEDAR LN
Second Line :
City : CAVE JUNCTION
State : OR
Zip : 97523-9515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 NW WASHINGTON BLVD
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1049
Country : US
Telephone Number : 541-956-6250
Fax Number : 541-956-6251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/28/2013

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