NPI 1003368150

Jennifer Mack

Practitioner Pediatric Nurse Practitioner Albuquerque, NM

Practice location

Address: 5904 Holly Ave NE, Albuquerque, NM 87113-2472
Phone: (505) 298-2505
Fax: (505) 298-2985
Mailing address: 9201 Montgomery Blvd NE STE 201, Albuquerque, NM 87111-2467

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 85353 (NM)

Other Nurse Practitioner providers in New Mexico →

Registry record

NPI: 1003368150
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2016
Record last updated: 15 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.