MARY MARIE JACKSON

ANDERSON, SC
NPI1215637301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  27133)
Enumeration Date2023-03-07
Last Update Date2023-05-13
Business Address
MARY MARIE JACKSON PMHNP-BC
102 BUFORD AVE STE A
ANDERSON, SC 29621-3365
Phone number: 864-280-6551
Mailing Address
MARY MARIE JACKSON PMHNP-BC
102 BUFORD AVE STE A
ANDERSON, SC 29621-3365
Phone number: 864-261-9506
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