Individual provider · Type 1 NPI

Mackenzie Alyse Polochak, MSN, APRN, FNP-C

Nurse Practitioner · Morristown, TN

NPI number 1861375008 Active

Practice location

1530 W Andrew Johnson Hwy
Morristown, TN 37814-3733

Call (423) 507-8951 Map

Mailing address

639 Richland Creek Dr
Blaine, TN 37709-5441

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X39071 (TN)

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 1861375008

Mackenzie Alyse Polochak, MSN, APRN, FNP-C's National Provider Identifier is 1861375008, issued on Jul 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Morristown, TN. The record was last updated on Jul 28, 2025.