Mary Florence Daniels, LPN

Key facts

NPI

1114356755

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

LPN076378 (GA)

Practice address

102 Clearview Dr
Sylvester, GA 31791-3423

Phone

(229) 214-3024

Fax

(229) 430-1719

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2013.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1114356755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CLEARVIEW DR",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317913423",
            "telephone_number": "229-214-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CLEARVIEW DR",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317913423",
            "telephone_number": "229-214-3024",
            "fax_number": "229-430-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MARY",
        "middle_name": "FLORENCE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN076378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Sylvester, GA · Licensed Practical Nurse in Georgia