Search › California › 207V00000X
Mary Jackson, M.D
NPI 1043296882 · on the registry since 2005
Practice
- Address
- 120 Corbett Canyon Rd
Arroyo Grande, CA 93420 - Phone
- (805) 459-0529
- Fax
- (805) 474-8555
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- CA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California