Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY J JACKSON, MD
ActiveMARY J JACKSON, MD is a Family Medicine healthcare provider located in MANLIUS, New York. NPI 1609851443 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANLIUS, NY
Registration Details
- NPI Number
- 1609851443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2005 (20.521781151775 yrs)
- Last Updated
- Jun 8, 2009
- License
-
154924 (NY)
Practice Information
- Address
-
308 W SENECA STMANLIUS, NY, 131042318Browse NY providers · Browse ZIP 13104
- Phone
- 3156825080
- Fax
- 3156828847
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MANLIUS, NY
| Name | Credential | NPI |
|---|---|---|
| CAROLYN L COVENEY | MD | 1871594234 |
| PARASKOS ARAOUZOS | MD | 1316938830 |
| LORI L ANDERSON | MD | 1134104979 |
| WENDY M SCINTA | MD | 1861471500 |
| DR. KAREN OLIVER NARDELLA | MD | 1427163112 |
| DR. JARROD LAWRENCE BAGATELL | MD | 1144335845 |
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.