Individual provider · Type 1 NPI

Mary Ann Light, APN

Nurse Practitioner · Signal Mountain, TN

NPI number 1720095086 Active

Practice location

796 Ridgeway Ave
Signal Mountain, TN 37377-3067

Call (423) 886-3269 Map

Mailing address

PO Box 772
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-052430 (AL)
Family Nurse Practitioner 363LF0000X12784 (TN)

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 1720095086

Mary Ann Light, APN's National Provider Identifier is 1720095086, issued on Aug 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Signal Mountain, TN. The record was last updated on Jun 28, 2013.