MRS. MAMIE FAITH PETERSON-MCLAURN
NPI 1770931636
Home Health in Jax, FL

Active since June 01, 2016

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Mamie Faith Peterson-mclaurn NPPES

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

MRS. MAMIE FAITH PETERSON-MCLAURN (NPI 1770931636) is an individual home health provider in Jax, Florida and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1770931636
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMRS. MAMIE FAITH PETERSON-MCLAURN
Location Address2747 SOPHIA STJax, FL 32254
Mailing AddressPo Box 9251Jacksonville, FL 32208 · (904) 662-1155
Sole ProprietorYes
Enumeration DateJune 1, 2016
NPI 1770931636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2747 SOPHIA ST, Jax, FL 32254

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 Mamie Peterson-mclaurn's NPI number?

The NPI number for Mamie Peterson-mclaurn is 1770931636. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Mamie Peterson-mclaurn located?

Mamie Peterson-mclaurn practices at 2747 Sophia St, Jax, FL 32254. The listed phone number is (904) 662-1155.

What is Mamie Peterson-mclaurn's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mamie Peterson-mclaurn was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.