Individual provider · Type 1 NPI
Marializa Godoy Padilla Jackson, APRN, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chesterfield, MI
NPI number
1306536545
Active
Practice location
51999 Copper Creek Ct
Chesterfield, MI 48047-5968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704188063 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306536545
Marializa Godoy Padilla Jackson, APRN, MSN, PMHNP-BC's National Provider Identifier is 1306536545, issued on May 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chesterfield, MI. The record was last updated on Jun 3, 2024.