IndividualActive
Mary Fowler
NPI 1548985997 · Day Training/Habilitation Specialist · Ellisville, MS
Provider details
- NPI number
- 1548985997
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 649-7921
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2022-10-07
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.