Jackson, Marili Medina

Jackson, Marili Medina is an sole proprietor health care provider with primary practice located at 5808 Airline Dr Airline Children'S Clinic, Houston TX 77076-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Marili Medina can be contacted via phone (713) 695-4013.

Contact Information

Primary practice address
5808 Airline Dr Airline Children'S Clinic Houston TX 77076-4923
Phone: (713) 695-4013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP122290 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 708633 Texas

Profile Details

NPI number 1033466537
LBN Legal business name Jackson, Marili Medina
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2012
Last updated Dec 2nd, 2019 - about 7 years ago

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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