Jackson, Marializa Godoy Padilla

Jackson, Marializa Godoy Padilla is an individual health care provider with primary practice located at 51999 Copper Creek Ct , Chesterfield MI 48047-5968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Marializa Godoy Padilla can be contacted via phone (586) 275-9658.

Contact Information

Primary practice address
51999 Copper Creek Ct Chesterfield MI 48047-5968
Phone: (586) 275-9658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704188063 Michigan

Profile Details

NPI number 1306536545
LBN Legal business name Jackson, Marializa Godoy Padilla
Credentials APRN, MSN,PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2023
Last updated Jun 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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