National Provider Identifier

Mary Lane Jackmin, PA-C

Mary Lane Jackmin, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 355-0648.

NPI 1427225929Boston, MASurgical Physician Assistant

Source: public NPPES record, last updated May 14, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1427225929
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008

Practice Location

  • 333 Longwood Ave
  • 3Rd Floor
  • Boston, MA 02115-5711

Phone: (617) 355-0648

Specialties

  • Surgical Physician Assistant (363AS0400X)
  • Physician Assistant (363A00000X)

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Biography

Mary Lane Jackmin, PA-C, is a surgical physician assistant in the Department of Otolaryngology and Communication Enhancement at Boston Children’s Hospital, with clinic work noted in pediatric voice and velopharyngeal dysfunction care. She has also contributed to pediatric otolaryngology research, including a 2022 study on telemedicine for tracheostomy-dependent children.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1427225929
Entity Type
Individual
Last Name
Jackmin
First Name
Mary
Middle Name
Lane
Name Prefix
Mrs.
Credential
PA-C
Provider Other Last Name
Lane
Provider Other First Name
Mary
Provider Other Middle Name
Henriette
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
333 Longwood Ave
Mailing Address Line 2
3Rd Floor
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02115-5711
Mailing Country
US
Mailing Phone
(617) 355-0648
Mailing Fax
(617) 730-0337
Practice Street Address
333 Longwood Ave
Practice Address Line 2
3Rd Floor
Practice City
Boston
Practice State
MA
Practice ZIP Code
02115-5711
Practice Country
US
Practice Phone
(617) 355-0648
Practice Fax
(617) 730-0337
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008
Sex
Female
Sole Proprietor
No
Taxonomies
Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)