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JENNIFER MACK
NPI 1003368150
Nurse Practitioner - Pediatrics in Albuquerque, NM

Active since October 25, 2016
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113(505) 298-2505(505) 298-2985 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, Oct 25, 2016 (2 updates tracked since 2016).

About Jennifer Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MACK (NPI 1003368150) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (85353) and active in the NPI registry since October 2016. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1003368150
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER MACK
Location Address5904 HOLLY AVE NEAlbuquerque, NM 87113-2472
Mailing Address9201 Montgomery Blvd Ne Ste 201Albuquerque, NM 87111-2467 · (505) 298-2505 · Fax (505) 298-2985
Phone(505) 298-2505
Fax(505) 298-2985
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1003368150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · 85353
5904 HOLLY AVE NE, Albuquerque, NM 87113
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Secondary Practice Location 1

Location 19201 Montgomery Blvd NE Ste 201Albuquerque, NM 87111-2467 · Phone (505) 298-2505 · Fax (505) 298-2985

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH E COOK NP
Nurse Practitioner (Family)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. WILLIAM B HAWK M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
GUY DAVID CROCETTI M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
JUAN GALLEGOS MD
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 899-3933
DR. JOEL CHARLES BERGER M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
REBECCA SPRING PNP
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
RACHEL MARQUEZ
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. CAROLE EVA GERVAIS M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (212) 247-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mack's NPI number?

The NPI number for Jennifer Mack is 1003368150. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Jennifer Mack located?

Jennifer Mack practices at 5904 Holly Ave NE, Albuquerque, NM 87113. The listed phone number is (505) 298-2505.

What is Jennifer Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jennifer Mack was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.