MARY LEE ANN FOWLER (NPI# 1477707974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477707974 |
| Entity Type | Individual |
| Full Name | MARY LEE ANN FOWLER |
| Other Name | MARY LEE ANN MCCONNELL |
| Credential | D.C. |
| Practice Address |
11512 Lake Mead Ave Suite 203 Jacksonville FL 32256-1400 |
| Mailing Address |
135 Professional Dr Ste 105 Ponte Vedra FL 32082-7228 |
| Practice Telephone | 2702109577 |
| Mailing Telephone | 2702109577 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9853 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861924342 | Mary Fowler | Pharmacist | 182 N 2nd St # 604, Harrison, MI 48625-2545 | 2017-04-03 |
| 1972874808 | Mary Ann Fowler | Licensed Practical Nurse | 608 W Chestnut St, Mount Vernon, OH 43050-2356 | 2012-01-24 |
| 1487933537 | Mary Jane Fowler | Licensed Practical Nurse | 181 Rodessa Rd, Greece, NY 14616-4605 | 2011-08-08 |
| 1114120599 | Mary Louise Fowler | Registered Nurse | 311 23rd Ave N Rm 319, Nashville, TN 37203-1503 | 2007-06-06 |
| 1437276888 | Mary Lynn Fowler | Speech-Language Pathologist | 704 Thomas Ct, Ann Arbor, MI 48103-3449 | 2007-03-23 |
| 1881127504 | Mary Fowler | Social Worker | 325 S Church St, Spartanburg, SC 29306-5231 | 2017-04-10 |
| 1730528647 | Mary Ann Fowler | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2013-06-25 |
| 1801160742 | Mary R Fowler | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2012-02-23 |
| 1487942397 | Mary Lu Fowler | Speech-Language Pathologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2011-07-12 |
| 1174846554 | Mary V Fowler | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2010-03-12 |
| Street Address |
11512 LAKE MEAD AVE SUITE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831906 | Jerome O Sugar | Otolaryngology | 11512 Lake Mead Ave, Ste 531, Jacksonville, FL 32256-9680 | 2005-06-17 |
| 1952949166 | Savannah Moore | Speech-Language Pathologist | 11512 Lake Mead Ave, Jacksonville, FL 32256-9680 | 2019-12-18 |
| 1225594427 | Celena Allen | Nurse Practitioner | 11512 Lake Mead Ave, Jacksonville, FL 32256-9680 | 2019-02-13 |
| 1306300017 | Tara Elizabeth Strange | Speech-Language Pathologist | 11512 Lake Mead Ave, Jacksonville, FL 32256-9680 | 2019-01-27 |
| 1457826810 | Annette Marie Tharp-wright | Counselor | 11512 Lake Mead Ave, Jacksonville, FL 32256-9680 | 2018-10-11 |
| 1023515418 | Samantha J Barry | Nurse Practitioner | 11512 Lake Mead Ave, Jacksonville, FL 32256-9680 | 2018-04-11 |
| 1073068235 | Juliann Abecassis | Acupuncturist | 11512 Lake Mead Ave, Suite 605, Jacksonville, FL 32256-9680 | 2016-08-17 |
| 1568915387 | Jacksonville Dental Specialists | Dentist | 11512 Lake Mead Ave, Ste. 532, Jacksonville, FL 32256-9680 | 2016-07-28 |
| 1972957272 | Kayla Raulerson | Behavioral Analyst | 11512 Lake Mead Ave, Suite 601, Jacksonville, FL 32256-9680 | 2016-04-22 |
| 1710331830 | Anna Beth Baden | Behavioral Analyst | 11512 Lake Mead Ave, Suite 601, Jacksonville, FL 32256-9680 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588261572 | Postural Chiropractic | Chiropractor | 4263 Losco Rd Apt 623, Jacksonville, FL 32257-1449 | 2020-10-03 |
| 1932729639 | Medicussx Spine & Joint, LLC | Chiropractor | 9191 R G Skinner Pkwy Unit 901, Jacksonville, FL 32256-9663 | 2020-04-22 |
| 1801425913 | Yale Gordon | Chiropractor | 6263 Philips Hwy, Jacksonville, FL 32216-6047 | 2020-04-02 |
| 1437787454 | Holly Ganley | Chiropractor | 12486 Weeping Branch Cir, Jacksonville, FL 32218-9602 | 2020-03-27 |
| 1093347767 | Jennifer Vannoy | Chiropractor | 6100 Greenland Rd Ste 101, Jacksonville, FL 32258-2624 | 2020-02-10 |
| 1831739317 | True Wellness Health Center | Chiropractor | 1124 Bahia Blanca St S, Jacksonville, FL 32256-7393 | 2020-01-13 |
| 1356981955 | Endeavor Health Center | Chiropractor | 13051 Gran Bay Pkwy Unit 1328, Jacksonville, FL 32258-6515 | 2020-01-10 |
| 1134762834 | Christina Salvia | Chiropractor | 11900 Atlantic Blvd Ste 226, Jacksonville, FL 32225-2942 | 2019-10-25 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on MARY LEE ANN FOWLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.