Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Mack

Individual provider Pediatric Nurse Practitioner · NPI 1003368150

Jennifer Mack is a Pediatric Nurse Practitioner in Albuquerque, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2016

Practice location Address checks out

5904 Holly Ave NE
Albuquerque, NM 87113-2472
Phone: (505) 298-2505
Fax: (505) 298-2985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9201 Montgomery Blvd Ne Ste 201, Albuquerque, NM 87111-2467 — (505) 298-2505

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 85353 (NM)

Record details

NPI number1003368150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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