| Doctor Name: | MARY JESSICA MERTINS |
| NPI Number: | 1447392303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 617852 |
| Business Practice Address: | 540 W. 15th Street Hereford, TX - 79045 |
| Business Phone Number: | 8063647512 |
| Business Fax Number: | 8063645256 |
| Mailing Address: | 540 W. 15th Street, HEREFORD |
| State: | TX |
| Postal Code: | 79045 |
| Phone Number: | 8063647512 |
| Fax Number: | 8063645256 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 05/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 617852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |