Individual provider · Type 1 NPI

Kassandra Rochelle Mack, R.N.

Ambulatory Care Registered Nurse · Fort Stewart, GA

NPI number 1649670274 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN229688 (GA)
Ambulatory Care Registered Nurse Primary 163WP2201XRN229688 (GA)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1649670274

Kassandra Rochelle Mack, R.N.'s National Provider Identifier is 1649670274, issued on Sep 2, 2014. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Fort Stewart, GA. The record was last updated on Sep 2, 2014.