Mary Jane Long

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

60497344 Issued in WA

Practice address

Mamc 9040 Jackson Ave
Attn: MCHJ-CLQ-C
Tacoma, WA 98431-0001

Phone

(253) 224-3815

NPI assigned

Jul 23, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1508219734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAMC 9040 JACKSON AVE",
            "address_2": "ATTN: MCHJ-CLQ-C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-224-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAMC 9040 JACKSON AVE",
            "address_2": "ATTN: MCHJ-CLQ-C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-224-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "60497344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas M Long, D.C.
• Elizabeth S Long, DNP, ARNP, FNP-C
• Jaime C. Long, ARNP
• Katie Courtney Long
• Kevin R Long, L.M.P.
• Michael V. Long, D.C.
• Nicole L Long, D.C.
• Rebecca Dawn Long, NP
• Tracy Long, LICSW
• Tyree Adrian Long

• Administrator Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Administrator Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.