Individual provider · Type 1 NPI

Mary Melani Jaskowiak, RN, CPNP

Pediatric Nurse Practitioner · Mesa, AZ

NPI number 1780642413 Active

Practice location

4540 E Baseline Rd, Ste 108
Mesa, AZ 85206-4613

Fax (480) 545-4551

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN049921 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1780642413

Mary Melani Jaskowiak, RN, CPNP's National Provider Identifier is 1780642413, issued on May 2, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Jul 13, 2026.