Individual provider · Type 1 NPI

Carol Isaac Mackusick, AGNP-C

Adult Health Nurse Practitioner · Brevard, NC

NPI number 1508322504 Active

Practice location

89 Hospital Dr Ste B
Brevard, NC 28712-4838

Fax (828) 883-3331

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5011510 (NC)
Adult Health Nurse Practitioner Primary 363LA2200XMACK-18NGWV (NC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1508322504

Carol Isaac Mackusick, AGNP-C's National Provider Identifier is 1508322504, issued on Feb 14, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brevard, NC. The record was last updated on Nov 15, 2024.