Individual provider · Type 1 NPI

Robin Lynn Mack, CANP

Adult Health Nurse Practitioner · Jackson, MS

NPI number 1508971227 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Fax (601) 368-3801

Mailing address

253 Timberline Dr
Madison, MS 39110-9671

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR678236 (MS)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1508971227

Robin Lynn Mack, CANP's National Provider Identifier is 1508971227, issued on Aug 20, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jackson, MS. The record was last updated on Jul 21, 2022.