Jackson, Mary Marie
Jackson, Mary Marie is an sole proprietor health care provider with primary practice located at 102 Buford Ave Ste A , Anderson SC 29621-3365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Mary Marie can be contacted via phone (864) 280-6551.Contact Information
Primary practice address
102 Buford Ave Ste A
Anderson SC 29621-3365
Phone: (864) 280-6551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 27133 | South Carolina |
Profile Details
| NPI number | 1215637301 |
|---|---|
| LBN Legal business name | Jackson, Mary Marie |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2023 |
| Last updated | Nov 8th, 2024 - about 2 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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