Individual
MARY JANE GAY ACKERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4985 PALO VERDE AVE, FAIRBANKS, AK 99709-3213
(907) 452-2923
Mailing address
1060 GAFFNEY RD #7740, COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM, FORT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4845
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
26NO09155000
NJ
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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