MARY D REDFEARN
NPI 1215001896
Nurse Practitioner - Obstetrics & Gynecology in Orange Park, FL

Q: What is Mary Redfearn's NPI number?

The NPI number for Mary Redfearn is 1215001896. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Mary Redfearn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Redfearn was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2006

3229 BEAR RUN BLVD BLDG B, ORANGE PARK, FL 32065(904) 272-3177 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mary D Redfearn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY D REDFEARN (NPI 1215001896) is an individual obstetrics & gynecology provider in Orange Park, Florida, licensed in Florida (ARNP485802) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215001896

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMARY D REDFEARN

Location Address3229 BEAR RUN BLVD BLDG BOrange Park, FL 32065-7334

Mailing AddressPo Box 578Green Cove Springs, FL 32043-0578 · (904) 272-3177

Phone(904) 272-3177

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateDecember 21, 2012

✔ NPI 1215001896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in FL · ARNP485802

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP485802 (FL)

3229 BEAR RUN BLVD BLDG B, Orange Park, FL 32065

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Other Identifiers 1

Medicaid034577600FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Redfearn's NPI number?

The NPI number for Mary Redfearn is 1215001896. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Mary Redfearn located?

Mary Redfearn practices at 3229 Bear Run Blvd Bldg B, Orange Park, FL 32065. The listed phone number is (904) 272-3177.

What is Mary Redfearn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Mary Redfearn was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.