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MS. JO ANNE MAYNARD DNP
NPI 1730105792
Nurse Practitioner in Southampton, NY

Active since July 14, 2006
740 COUNTY ROAD 39A, SOUTHAMPTON, NY 11968(631) 638-7702 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 6, 2019, Sep 29, 2015 (2 updates tracked since 2015).

About Ms. Jo Anne Maynard Dnp NPPES

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

MS. JO ANNE MAYNARD DNP (NPI 1730105792) is an individual nurse practitioner in Southampton, New York, licensed in New York (F301032) and active in the NPI registry since July 2006. She maintains a secondary practice location in Commack.

NPPES Registry Identity

NPI1730105792
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JO ANNE MAYNARDCredential: DNP
Location Address740 COUNTY ROAD 39ASouthampton, NY 11968-5247
Mailing Address650 Commack RdCommack, NY 11725-5404 · (631) 495-5295 · Fax (631) 675-2001
Phone(631) 638-7702
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1730105792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F301032
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
740 COUNTY ROAD 39A, Southampton, NY 11968
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Secondary Practice Location 1

Location 1650 Commack RdCommack, NY 11725-5404 · Phone (631) 495-5295

Other Identifiers 1

Medicaid02376410NY

Other Providers at the Same Location NPPES

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

BRIDGET O'SULLIVAN PA-C
Physician Assistant (Medical)
740 COUNTY ROAD 39A
SOUTHAMPTON, NY 11968
Suffolk County (631) 638-7400

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 Jo Anne Maynard's NPI number?

The NPI number for Jo Anne Maynard is 1730105792. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Jo Anne Maynard located?

Jo Anne Maynard practices at 740 County Road 39A, Southampton, NY 11968. The listed phone number is (631) 638-7702.

What is Jo Anne Maynard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jo Anne Maynard was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.