Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jane Long

Individual provider Administrator Registered Nurse · NPI 1508219734

Mary Jane Long is an Administrator Registered Nurse in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016

Practice location Address checks out

Mamc 9040 Jackson Ave Attn: Mchj-Clq-C
Tacoma, WA 98431-0001
Phone: (253) 224-3815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 60497344 (WA)

Record details

NPI number1508219734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2016
Last updated in NPPESJuly 23, 2016
Mailing addressMamc 9040 Jackson Ave, Attn: McHj-Clq-C, Tacoma, WA 98431-0001

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