Individual provider · Type 1 NPI
Kakethia S. Mack, NURSE PRACTITIONER
Family Nurse Practitioner · Ellenwood, GA
NPI number
1346748837
Active
Practice location
4124 Bosenberry Way
Ellenwood, GA 30294
Fax (678) 463-6568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN154797 (GA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Ellenwood
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- Ngassa Nchapada Menga Faith, NPFamily Nurse Practitioner Ellenwood, GA NPI 1265059299
- Rose Senge Kombe, FNP-CFamily Nurse Practitioner Ellenwood, GA NPI 1285169185
- Shalundrah McIntireFamily Nurse Practitioner Ellenwood, GA NPI 1326588104
- Terrilyn D. Lemons, APRNPFamily Nurse Practitioner Ellenwood, GA NPI 1336304682
- Trevino C. Simmons, FNPFamily Nurse Practitioner Ellenwood, GA NPI 1346797065
- Claudea Antonette Lewis-ComrieFamily Nurse Practitioner Ellenwood, GA NPI 1437664463
- Claudine Caesar, FNP-BCFamily Nurse Practitioner Ellenwood, GA NPI 1467967497
About NPI 1346748837
Kakethia S. Mack, NURSE PRACTITIONER's National Provider Identifier is 1346748837, issued on Jan 30, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellenwood, GA. The record was last updated on Jul 2, 2018.