Marializa Godoy Padilla Jackson, APRN, MSN,PMHNP-BC
NPI #1306536545 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1306536545
- Entity Type
- Individual
- Name
- Marializa Godoy Padilla Jackson, APRN, MSN,PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN, MSN,PMHNP-BC
- Enumeration Date
- May 10, 2023
- Last Updated
- Jun 3, 2024
Practice Location
- Address
- 51999 COPPER CREEK CT
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48047-5968
- Phone
- (586) 275-9658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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