Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JACKSON I
Active Sole ProprietorMARY JACKSON I is a Foot & Ankle Surgery healthcare provider located in WINTHROP, Maine. NPI 1013331586 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · WINTHROP, ME
Registration Details
- NPI Number
- 1013331586
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2014 (12.379115755962 yrs)
- Last Updated
- Feb 4, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
555 OLD LEWISTON RDWINTHROP, ME, 043644112Browse ME providers · Browse ZIP 04364
- Phone
- 2074463215
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- Homemaker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.