Individual provider · Type 1 NPI

Linda Ruth Mack, NP

Nurse Practitioner · Jackson, MS

NPI number 1205935301 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Fax (601) 362-1259

Mailing address

1973 Houston Rd
Bolton, MS 39041-9387

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR725005 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205935301

Linda Ruth Mack, NP's National Provider Identifier is 1205935301, issued on Sep 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.