Provider Demographics
NPI:1821278813
Name:WARD, MARY ANN (FNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:WARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:877-348-1281
Mailing Address - Fax:901-227-3206
Practice Address - Street 1:2024 15TH ST FL 5
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4100
Practice Address - Country:US
Practice Address - Phone:601-703-8470
Practice Address - Fax:601-703-8479
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2025-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MSR856368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily