De La Roca, Mackensie Grant

De La Roca, Mackensie Grant is an individual health care provider with primary practice located at 181 Daniel Rd , Forest City NC 28043-7151. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. De La Roca, Mackensie Grant can be contacted via phone (828) 286-9036.

Contact Information

Primary practice address
181 Daniel Rd Forest City NC 28043-7151
Phone: (828) 286-9036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5013589 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5013589 North Carolina

Profile Details

NPI number 1134720766
LBN Legal business name De La Roca, Mackensie Grant
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2020
Last updated Jul 15th, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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