Individual provider · Type 1 NPI

Mary Ann Long, CPNP

Nurse Practitioner · Rome, GA

NPI number 1467701672 Active

Practice location

1013 N 5th Ave NE
Rome, GA 30165-2664

Fax (706) 234-9026

Mailing address

1825 Martha Berry Blvd NW
Rome, GA 30165-1625

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN175517 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467701672

Mary Ann Long, CPNP's National Provider Identifier is 1467701672, issued on Sep 4, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rome, GA. The record was last updated on Mar 18, 2013.