-- MARY JACKSON --
Individual Provider (NPI-1)
Active
Registered Nurse, Community Health
Provider Information
- NPI Number
1912127242- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 215 S SILVER AVE, DEMING, NM, 880303715
- Phone
- (505) 546-2771
- Fax
- (505) 546-9427
Specialties & Taxonomies
Registered Nurse, Community Health
Primary License: NM #R47234