Individual provider · Type 1 NPI
Mackenzie Blackburn, APRN, CNP
Nurse Practitioner · Warrenville, IL
Practice location
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Fax (630) 352-5499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.030678 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1740005511
Mackenzie Blackburn, APRN, CNP's National Provider Identifier is 1740005511, issued on Nov 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Warrenville, IL. The record was last updated on Mar 20, 2025.