Mavis Jackson
NPI #1083455315 in Orangeburg, New York
Provider Information
- NPI Number
- 1083455315
- Entity Type
- Individual
- Name
- Mavis Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jun 3, 2024
Practice Location
- Address
- 140 OLD ORANGEBURG RD
- City
- Orangeburg
- State
- New York
- ZIP Code
- 10962-1157
- Phone
- (845) 680-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health, Child & Adolescent — Psychiatric/Mental Health, Child & Adolescent |
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