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

Mary J Jackson, MD

Individual provider Family Medicine Physician · NPI 1609851443

Mary J Jackson, MD is a Family Medicine Physician in Manlius, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

308 W Seneca St
Manlius, NY 13104-2318
Phone: (315) 682-5080
Fax: (315) 682-8847
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 154924 (NY)

Record details

NPI number1609851443
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJune 8, 2009
Mailing address1001 W Fayette St, Ste 400, Syracuse, NY 13204-2859

Other providers in Manlius