Individual provider · Type 1 NPI

Jackie A. Mackey

Intermediate Emergency Medical Technician · San Fidel, NM

NPI number 1154592517 Active

Practice location

Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130

Call (505) 552-5385 Map

Fax (505) 552-5473

Mailing address

PO Box 130
San Fidel, NM 87049-0130

Specialties and licenses

TaxonomyCodeLicense
Intermediate Emergency Medical Technician Primary 146M00000X03000684 (NM)

Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

6 other providers at this address

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About NPI 1154592517

Jackie A. Mackey's National Provider Identifier is 1154592517, issued on Mar 13, 2008. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in San Fidel, NM. The record was last updated on Mar 13, 2008.