Individual provider · Type 1 NPI

Mackenzie Noelle Tewksbury, PA-C

Physician Assistant · Roanoke, VA

NPI number 1780484899 Active

Practice location

3 Riverside Cir
Roanoke, VA 24016-4955

Call (540) 224-5170 Map

Fax (540) 985-9427

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 981-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110011587 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780484899

Mackenzie Noelle Tewksbury, PA-C's National Provider Identifier is 1780484899, issued on Mar 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, VA. The record was last updated on Mar 13, 2026.