JAN MARY MEAD FNP
NPI 1730488321
Nurse Practitioner - Family in Tully, NY
About Jan Mary Mead Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAN MARY MEAD FNP (NPI 1730488321) is an individual family provider in Tully, New York, licensed in New York (F332612-1) and active in the NPI registry since March 2011.
NPPES Registry Identity
Specialties & Licenses
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 Jan Mead's NPI number?
The NPI number for Jan Mead is 1730488321. It was assigned to this individual provider in the NPPES registry on March 22, 2011.
Where is Jan Mead located?
Jan Mead practices at 5697 Lake Rd, Tully, NY 13159. The listed phone number is (315) 391-8141.
What is Jan Mead's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Jan Mead was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jan Mary Mead, FNP · NPI 1730488321
Family physician in Tully, New York. Individual provider, active in the CMS NPPES registry since March 22, 2011.
## Identity
- **NPI:** 1730488321 (Entity type: Individual)
- **Enumerated:** March 22, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F332612-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5697 LAKE RD, Tully, NY 13159-9412
- **Phone:** (315) 391-8141
## Record status
- **NPPES last updated:** March 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1730488321) · Data from the CMS NPPES public registry.