JESSICA LIDIETH MAIRENA NPI 1831825629

NPI Information

  • NPI: 1831825629
  • Provider Name: JESSICA LIDIETH MAIRENA
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 957 ALLEN PARK LN
    AYDEN, NC
    ZIP 28513
  • Phone: (281) 250-6324

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NPI Details

Jessica Lidieth Mairena is a specialist in Ayden, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jessica Lidieth Mairena NPI is 1831825629. 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:

957 ALLEN PARK LN
AYDEN, NC
ZIP 28513-300
Phone: (281) 250-6324

The enumeration date for this NPI number is 7/25/2022 and was last updated on 7/25/2022.

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
1174400000XSpecialistYes

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: 11/21/2025

NPI Synchronization or Removal

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