Mary Lana Jarrell, APRN
Individual provider Active NPI Family Nurse Practitioner · Sylvania, GA
NPI 1770665697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770665697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN044752 (GA)
- Practice address
- 416 Pine St
Sylvania, GA 30467-2036 - Phone
- (912) 564-2182
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN044752 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Screven County Health Department | Past | Accepting new patients | |
| Screven County Health Department | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN044752 | GA | Yes |
Addresses
Primary practice location
416 Pine St
Sylvania, GA 30467-2036
Mailing address
416 Pine St
Sylvania, GA 30467-2036
Phone (912) 564-2182
Other providers in Sylvania, GA
- Healthstat on-Site Clinic-Milliken Longleaf
- Margaret Ann Hollingsworth
- Valarie Hopkins
- Miranda Jackson
- Sharon A. Jacobs
- Jenkins County Hospital LLC
- Jenkins County Hospital, LLC
- Latrell Jenkins
- Courtney Johnson
- Mary Beth Jones-Godbee
All providers in Sylvania, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.