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Mary Marie Jackson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Anderson, South Carolina
NPI 1215637301

Mary Marie Jackson is a Psychiatric/Mental Health Nurse Practitioner based in Anderson, SC and is specialized in Psychiatric/Mental Health. Mary Marie Jackson practices in Anderson, SC and has the professional credentials of PMHNP-BC. The NPI Number for Mary Marie Jackson is 1215637301 and holds a License No. 27133 (South Carolina).

The current practice location address for Mary Marie Jackson is 102 Buford Ave Ste A, Anderson, SC and can be reached out via phone at 864-280-6551.

Location: 102 Buford Ave Ste A, Anderson, SC, 29621-3365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215637301
Provider Name
Mary Marie Jackson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
102 Buford Ave Ste A, Anderson, SC, 29621-3365
Phone Number
864-280-6551
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Buford Ave Ste A
City
Anderson
State
South Carolina
Zip
29621-3365
Phone Number
864-280-6551
Fax Number
person
Provider Business Mailing Address Details
Address
102 Buford Ave Ste A
City
Anderson
State
South Carolina
Zip
29621-3365
Phone Number
864-280-6551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
27133 (South Carolina)
Definition
Definition to come...
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