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MARY NMN JACKSON
NPI 1013721497
Technician - Personal Care Attendant in Martinsburg, WV

Active since February 05, 2025
57 AQUEDUCT AVE, MARTINSBURG, WV 25404(361) 777-9641 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Nmn Jackson NPPES

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

MARY NMN JACKSON (NPI 1013721497) is an individual personal care attendant in Martinsburg, West Virginia and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1013721497
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMARY NMN JACKSON
Location Address57 AQUEDUCT AVEMartinsburg, WV 25404-1673
Mailing Address57 Aqueduct AveMartinsburg, WV 25404-1673 · (361) 777-9641
Phone(361) 777-9641
Sole ProprietorNo
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1013721497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

57 AQUEDUCT AVE, Martinsburg, WV 25404
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Frequently Asked Questions

What is Mary Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1013721497, enumerated as an "individual" on February 05, 2025.

Where is the provider located?

The provider is located at 57 AQUEDUCT AVE MARTINSBURG, WV 25404 and the phone number is (361) 777-9641.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.