Jackson, Martie Marie

Jackson, Martie Marie is an individual health care provider with primary practice located at 876 S Parsons Ave , Brandon FL 33511-6007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jackson, Martie Marie can be contacted via phone (813) 653-3359.

Contact Information

Primary practice address
876 S Parsons Ave Brandon FL 33511-6007
Fax: (813) 662-9639
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP3050652 Florida

Profile Details

NPI number 1891753166
LBN Legal business name Jackson, Martie Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 27th, 2009 - about 17 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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