MRS. Mary Lane Jackmin, PA-C is a surgical physician assistant in Boston, MA. MRS. Mary Lane Jackmin, PA-C NPI is 1427225929. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
333 LONGWOOD AVE
3RD FLOOR
BOSTON, MA
ZIP 02115-711
Phone: (617) 355-0648
Fax: (617) 730-0337
The NPI 1427225929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.