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MARY LEE ANN FOWLER D.C.
NPI 1477707974
Chiropractor in Jacksonville, FL

Active since November 11, 2008
11512 LAKE MEAD AVE, SUITE 203, JACKSONVILLE, FL 32256(270) 210-9577 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Lee Ann Fowler D.c. NPPES

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

MARY LEE ANN FOWLER D.C. (NPI 1477707974) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (9853) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1477707974
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMARY LEE ANN FOWLERCredential: D.C.
Location Address11512 LAKE MEAD AVE, SUITE 203Jacksonville, FL 32256-1400
Mailing Address135 Professional Dr Ste 105Ponte Vedra, FL 32082-7228 · (270) 210-9577
Phone(270) 210-9577
Sole ProprietorNo
Enumeration DateNovember 11, 2008
Last NPPES UpdateOctober 18, 2012
✔ NPI 1477707974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 9853
Definition
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.
11512 LAKE MEAD AVE, Jacksonville, FL 32256
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Other Names 1

Former Name (1)Mary Lee Ann Mcconnell

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA PARADISO DILMUTH ARNP
Nurse Practitioner (Adult Health)
11512 LAKE MEAD AVE, 513
JACKSONVILLE, FL 32256
Duval County (904) 402-8346
DR. TANYA E HUNTER MD
Family Medicine
11512 LAKE MEAD AVE, SUITE 521
JACKSONVILLE, FL 32256
Duval County (904) 807-9747
MRS. ELIZABETH JANE O'GRADY MS CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
MICHELLE KLINDTWORTH CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
JULIANN ABECASSIS
Acupuncturist
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477
JAMES E HARDY MD PLASTIC SURGERY LLC
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 996-0600
MELISSA AMERSON S.L.P.
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
CATHY L GOLDSTEIN AP
Acupuncturist
11512 LAKE MEAD AVE, # 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477

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 Fowler's NPI number?

The NPI number for Mary Fowler is 1477707974. It was assigned to this individual provider in the NPPES registry on November 11, 2008. The provider is also known as Mary Lee Ann Mcconnell.

Where is Mary Fowler located?

Mary Fowler practices at 11512 Lake Mead Ave Suite 203, Jacksonville, FL 32256. The listed phone number is (270) 210-9577.

What is Mary Fowler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mary Fowler was last updated on October 18, 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.