Mary E. Bures, CFNP
Individual provider Active NPI Nurse Practitioner · Jackson, MS
NPI 1346260486 · NPPES record last updated Aug 27, 2015
Key facts
- NPI
- 1346260486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R672637 (MS)
- Practice address
- 2500 North State Street
Department of Medicine/Division of Cardiology
Jackson, MS 39216-4500 - Phone
- (601) 984-5630
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R672637 | MS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current |
Accepting new patients | |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients | |
| Ms Methodist Hospital & Rehabilitation Center | Cardiovascular Disease | Past | Accepting new patients |
| University Internal Medicine Assoc LLP | Past | Accepting new patients | |
| Trustcare Primary Care, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R672637 | MS | Yes |
| Cardiovascular Disease Physician | 207RC0000X | R672637 | MS |
Addresses
Primary practice location
2500 North State Street
Department of Medicine/Division of Cardiology
Jackson, MS 39216-4500
Mailing address
2500 North State Street
Jackson, MS 39216-4500
Phone (601) 984-5678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114578 | Medicaid | MS | |
| P00462300 | Other | MS | RAILROAD MEDICARE PTAN |
| 106067 | Medicaid | AL | |
| RR 00229425 | Other | MS | RAILROAD |
Other names
- Ms. Mary E. Pearson
Other providers in Jackson, MS
- Michele Bunch
- Megan Bunniran
- Nyabang Buom
- Sandra Burch
- William Ethan Burch
- Robert Leon Burford III
- Gina Burkhead Burge
- Eric David Burger
- Danny Ray Burgess
- Erica Denise Burgess
All providers in Jackson, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.