Individual
MS. MARY JEAN WELLS
Active
Individual
MS. MARY JEAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024169788
VA
363LA2200X
Adult Health Nurse Practitioner
F301590
NY
Other
Enumeration date
08/07/2006
Last updated
01/15/2014
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