Mary Lane Jackmin in Boston - Physician Assistant
Mary Lane Jackmin - NPI 1427225929
Mary Lane Jackmin is a Physician Assistant in Boston, Massachusetts. Mary Lane Jackmin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Lane Jackmin is 1427225929. The last update date is 2008-05-14.
Mary Lane Jackmin's current location address is 333 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173550648 and fax number 6177300337. The mailing address for Mary Lane Jackmin is 333 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lane Jackmin |
|---|---|
| Address | 333 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173550648 |
| Fax Number | 6177300337 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1427225929 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 333 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155711 |
| Phone Number | 6173550648 |
| Fax Number | 6177300337 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2416 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Lane Jackmin by the Centers for Medicare & Medicaid Services?
The Mary Lane Jackmin has been issued the NPI (National Provider Identifier) 1427225929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Lane Jackmin is geographically located?
The Mary Lane Jackmin is physically situated at the following location: 333 Longwood Ave, Boston, MA, 21155711.
What is the Mary Lane Jackmin's area of specialization and corresponding taxonomy classification?
The Mary Lane Jackmin's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Mary Lane Jackmin's 1427225929 issued?
The Mary Lane Jackmin's 1427225929 was issued on 2008-05-14.
As of what date were the details pertaining to Mary Lane Jackmin last refreshed?
The information related to the Mary Lane Jackmin, including its address, specialty, and other relevant details, was last updated on 2008-05-14.
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