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Mary Jackson
NPI 1053777888 · on the registry since 2016
Practice
- Address
- 316 Shepherd St
Raleigh, NC 27607 - Phone
- (919) 219-5653
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- PA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-29
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 North Carolina