Provider Demographics
NPI:1376753202
Name:CURRY, MARY JANE (RN NP-F)
Entity Type:Individual
Prefix:MRS
First Name:MARY JANE
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:RN NP-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1201
Mailing Address - Country:US
Mailing Address - Phone:805-955-6870
Mailing Address - Fax:805-955-6071
Practice Address - Street 1:2755 ALAMO ST # 100
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1313
Practice Address - Country:US
Practice Address - Phone:805-955-6870
Practice Address - Fax:805-955-6071
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269360 NP8935363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMC1504768OtherDEA