Light, Mary Ann

Light, Mary Ann is an individual health care provider with primary practice located at 796 Ridgeway Ave , Signal Mountain TN 37377-3067. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Light, Mary Ann can be contacted via phone (423) 886-3269.

Contact Information

Primary practice address
796 Ridgeway Ave Signal Mountain TN 37377-3067
Phone: (423) 886-3269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-052430 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12784 Tennessee

Profile Details

NPI number 1720095086
LBN Legal business name Light, Mary Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720095086 NPPES
Alabama Other 051530068 BC BOAZ
Alabama MEDICAID 891010020 BC BOAZ
Alabama Other 051530066 BC BOAZ
Alabama MEDICAID 891010030 BC BOAZ

Popular Providers