Individual provider · Type 1 NPI

Mary Kathryn Riley, RN, FNP

Nurse Practitioner · Jackson, TN

NPI number 1861166191 Active

Practice location

1022 Greystone Sq
Jackson, TN 38305-3580

Fax (731) 240-8095

Mailing address

371 N Parkway Ste 400
Jackson, TN 38305-2891

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X188898 (TN)
Nurse Practitioner Primary 363L00000X30228 (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 1861166191

Mary Kathryn Riley, RN, FNP's National Provider Identifier is 1861166191, issued on Aug 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, TN. The record was last updated on Sep 3, 2021.