Gibbons, Mackenzie
Gibbons, Mackenzie is an sole proprietor health care provider with primary practice located at 16532 Us Highway 64 , Somerville TN 38068-6185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibbons, Mackenzie can be contacted via phone (901) 813-8138.Contact Information
Primary practice address
16532 Us Highway 64
Somerville TN 38068-6185
Phone: (901) 813-8138
Fax: (901) 813-8793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26479 | Tennessee |
Profile Details
| NPI number | 1629629761 |
|---|---|
| LBN Legal business name | Gibbons, Mackenzie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Nov 18th, 2020 - about 5 years 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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