Mackay, Jana M

Mackay, Jana M is an individual health care provider with primary practice located at 24 Old Etna Road Lebanon Center Genesis, Lebanon NH 03301-7504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackay, Jana M can be contacted via phone (603) 448-2234.

Contact Information

Primary practice address
24 Old Etna Road Lebanon Center Genesis Lebanon NH 03301-7504
Fax: (603) 448-2087
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 037924-23-03 New Hampshire

Profile Details

NPI number 1356319909
LBN Legal business name Mackay, Jana M
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 21st, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356319909 NPPES
New Hampshire MEDICAID 30340527

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