Jackson, Mary Katherine

Jackson, Mary Katherine is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Mary Katherine can be contacted via phone (904) 542-7516.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Phone: (904) 542-7516
Fax: (904) 542-7913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 420469 California

Profile Details

NPI number 1780664854
LBN Legal business name Jackson, Mary Katherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 13th, 2026 - about 3 months 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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