Dr. Mary Jo M Mackinnon, FNP-C, ND
Nurse Practitioner in Providence, Rhode Island
1932225794- Practice location
- 8 Abbott Park Pl, Providence, RI 02903-3703
- Phone
- 401-598-1104
- Fax
- —
- Last updated
- December 4, 2018
Mary Jo M Mackinnon is a Nurse Practitioner based in Providence, RI. Mary Jo M Mackinnon practices in Providence, RI and has the professional credentials of FNP-C, ND. The NPI Number for Mary Jo M Mackinnon is 1932225794 and holds a License No. 259166 (MA). The current practice location address for Mary Jo M Mackinnon is 8 Abbott Park Pl, Providence, RI 02903-3703 and can be reached out via phone at 401-598-1104.
Provider Profile Details
- NPI Number
- 1932225794
- Provider Name
- Mary Jo M Mackinnon
- Credential
- FNP-C, ND
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8 Abbott Park Pl, Providence, RI 02903-3703
- Phone Number
- 401-598-1104
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 22, 2007
- Last Update Date
- December 4, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 Abbott Park Pl
Providence, RI 02903-3703 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-3703
- Phone Number
- 401-598-1104
Provider Business Mailing Address Details
- Address
- 68 Wood Cove Dr
Coventry, RI 02816-6611 - City
- Coventry
- State
- RI
- Zip
- 02816-6611
- Phone Number
- 303-981-4407
License Information
- License Number (1)
- 259166
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- APRN00581
- License State (2)
- RI
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Desmond GyamfiNurse Practitioner · NPI 1205376357
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Frequently Asked Questions
What is the NPI number of Dr. Mary Jo M Mackinnon, FNP-C, ND?
The NPI number of Dr. Mary Jo M Mackinnon, FNP-C, ND is 1932225794. It was assigned on March 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Jo M Mackinnon, FNP-C, ND?
Dr. Mary Jo M Mackinnon, FNP-C, ND is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 259166.
Where does Dr. Mary Jo M Mackinnon, FNP-C, ND practice?
The practice location is 8 Abbott Park Pl, Providence, RI 02903-3703. The office can be reached at 401-598-1104 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932225794 directly on the NPPES registry website.