Individual provider · Type 1 NPI

Nia'ja Ste'vona Mack, FNP-C

Family Nurse Practitioner · Baton Rouge, LA

NPI number 1497254502 Active

Practice location

100 Womans Way
Baton Rouge, LA 70817-5100

Mailing address

25627 Buffwood St
Denham Springs, LA 70726-5994

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP09772 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1497254502

Nia'ja Ste'vona Mack, FNP-C's National Provider Identifier is 1497254502, issued on Feb 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 4, 2018.