Individual provider · Type 1 NPI

Mackenzie Dejarnatt

Student in an Organized Health Care Education/Training Program · Anderson, IN

NPI number 1710875265 Active

Practice location

1816 S Cross Lakes Cir Apt E
Anderson, IN 46012-4943

Call (574) 780-6722 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710875265

Mackenzie Dejarnatt's National Provider Identifier is 1710875265, issued on Jun 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anderson, IN. The record was last updated on Jun 26, 2025.