person
Mrs. Michelle Ayesha Macon, CRNP
Psychiatric/Mental Health Nurse Practitioner in Austin, Texas
NPI 1740614726

Michelle Ayesha Macon is a Psychiatric/Mental Health Nurse Practitioner based in Austin, TX and is specialized in Psychiatric/Mental Health. Michelle Ayesha Macon practices in Austin, TX and has the professional credentials of CRNP. The NPI Number for Michelle Ayesha Macon is 1740614726 and holds a License No. R170142 (Texas).

The current practice location address for Michelle Ayesha Macon is 8715 W Highway 71 Apt 4109, Austin, TX and can be reached out via phone at 410-615-8566.

Location: 8715 W Highway 71 Apt 4109, Austin, TX, 78735-0036
person
Provider Profile Details
NPI Number
1740614726
Provider Name
Michelle Ayesha Macon
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
8715 W Highway 71 Apt 4109, Austin, TX, 78735-0036
Phone Number
410-615-8566
Fax Number
Provider Enumeration Date
08/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8715 W Highway 71 Apt 4109
City
State
Zip
78735-0036
Phone Number
410-615-8566
Fax Number
person
Provider Business Mailing Address Details
Address
8715 W Highway 71 Apt 4109
City
State
Zip
78735-0036
Phone Number
410-615-8566
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R170142 (Maryland)
Definition
Definition to come...
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