Nurse Practitioner, Pediatrics
JENNIFER MACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003368150 · enumerated 2016-10-25 · record updated 2025-09-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 9201 MONTGOMERY BLVD NE STE 201, ALBUQUERQUE, NM, 87111-2467 (505) 298-2505 Fax (505) 298-2985 Google Maps Apple Maps OpenStreetMap
- Practice location 5904 HOLLY AVE NE, ALBUQUERQUE, NM, 87113-2472 (505) 298-2505 Fax (505) 298-2985 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 85353 NM
In this directory
NM Bernalillo County Albuquerque Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
ALBUQUERQUE, NM, 871132472
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.