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MARY R. JACKSON
NPI 1073791455
Technician - Personal Care Attendant in Bethel, AK

Active since February 07, 2008
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559(907) 543-6300(907) 543-6366 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary R. Jackson NPPES

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

MARY R. JACKSON (NPI 1073791455) is an individual personal care attendant in Bethel, Alaska and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1073791455
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMARY R. JACKSON
Location Address700 CHIEF EDDIE HOFFMAN HIGHWAYBethel, AK 99559-0287
Mailing AddressPo Box 287Bethel, AK 99559-0287
Phone(907) 543-6300
Fax(907) 543-6366
Sole ProprietorNo
Enumeration DateFebruary 7, 2008
✔ NPI 1073791455 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
700 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
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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.

MAY PRUNES
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
JIMMY J. JIMMY
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
WYNDI RACHELE ADAMS R.T.(R)
Radiologic Technologist (Radiography)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6000
DAREK NORATAK
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
FREIDA SERGIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
MS. PHYLLIS ANNETTE COYLE RD, LD
Dietitian, Registered
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
HANNAH OWEN
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
KATHLEEN WASSILLIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1073791455. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Mary Jackson located?

Mary Jackson practices at 700 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 543-6300.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.