Individual provider · Type 1 NPI

Kris Mackson, RN

Registered Nurse · Clarkston, MI

NPI number 1508727587 Active

Practice location

5715 Bella Rosa Blvd Ste 100
Clarkston, MI 48348-4776

Mailing address

6303 Waldon Center Dr
Clarkston, MI 48346-4812

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704228746 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508727587

Kris Mackson, RN's National Provider Identifier is 1508727587, issued on Nov 19, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Clarkston, MI. The record was last updated on Nov 19, 2025.