Individual provider · Type 1 NPI

Jo Anne Maynard, DNP

Nurse Practitioner · Southampton, NY

NPI number 1730105792 Active

Practice location

740 County Road 39A
Southampton, NY 11968-5247

Mailing address

650 Commack Rd
Commack, NY 11725-5404

Other practice locations

  • 650 Commack Rd, Commack, NY 11725-5404 · (631) 495-5295

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF301032 (NY)

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 1730105792

Jo Anne Maynard, DNP's National Provider Identifier is 1730105792, issued on Jul 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southampton, NY. The record was last updated on Sep 6, 2019.