JACKIE A MACKEY NPI 1154592517

NPI Information

NPI: 1154592517
Provider Name: JACKIE A MACKEY
Classification: Emergency Medical Technician, Intermediate - 146M00000X
Entity Type: Individual
Address:
EXIT 102 OFF I - 40 1/2 MI SOUTH
SAN FIDEL, NM
ZIP 87049
Phone: (505) 552-5385
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Jackie A Mackey is an emergency medical technician intermediate in San Fidel, NM. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Jackie A Mackey NPI is 1154592517. 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:

EXIT 102 OFF I - 40 1/2 MI SOUTH
SAN FIDEL, NM
ZIP 87049-130
Phone: (505) 552-5385
Fax: (505) 552-5473

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146M00000X	Emergency Medical Technician, Intermediate		03000684	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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