Jackson, Mary

Jackson, Mary is an individual health care provider with primary practice located at 215 S Silver Ave , Deming NM 88030-3715. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Jackson, Mary can be contacted via phone (505) 546-2771.

Contact Information

Primary practice address
215 S Silver Ave Deming NM 88030-3715
Fax: (505) 546-9427
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X R47234 New Mexico

Profile Details

NPI number 1912127242
LBN Legal business name Jackson, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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