IndividualActive
Jackie Mackey
NPI 1154592517 · Intermediate Emergency Medical Technician · San Fidel, NM
Provider details
- NPI number
- 1154592517
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 03000684 (NM)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130
Phone: (505) 552-5385
Fax: (505) 552-5473
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
San Fidel, NM 87049-0130
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.