Ms. Marili Medina Jackson
Nurse Practitioner - Pediatrics
5808 Airline Dr Airline Children's Clinic
Houston
, Texas 77076-4923
Ms. Marili Medina Jackson
Nurse Practitioner - Pediatrics
5808 Airline Dr Airline Children's Clinic
Houston
, Texas 77076-4923
(713) 695-4013
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Marili Medina Jackson
- 5808 Airline Dr Airline Children's Clinic
- Houston, TX
- Zip : 77076-4923
- Phone : (713) 695-4013
Second Address
- Ms. Marili Medina Jackson
- 5808 Airline Dr Airline Children's Clinic
- Houston, TX
- Zip : 77076-4923
- Phone : (713) 695-4013
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Is Ms. Marili Medina Jackson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 708633 | TX |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP122290 | TX |
National Provider Identifier
| NPI | 1033466537 |
|---|---|
| Provider Name | Ms. Marili Medina Jackson |
| First Address | Houston, TX 77076-4923 |
| Second Address | Houston, TX 77076-4923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2012 |
| Last Update Date | 02/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.