Individual provider · Type 1 NPI
Mary Hearon, CNA
Nursing Care Agency · Lamar, SC
NPI number
1104707629
Active
Practice location
137 River Rd
Lamar, SC 29069-9264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | 9983451 (SC) |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
About NPI 1104707629
Mary Hearon, CNA's National Provider Identifier is 1104707629, issued on Sep 10, 2025. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Lamar, SC. The record was last updated on Sep 10, 2025.