Mackie, Deanna

Mackie, Deanna is an individual health care provider with primary practice located at 2610 S Lamar Blvd , Oxford MS 38655-5243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackie, Deanna can be contacted via phone (622) 234-1731.

Contact Information

Primary practice address
2610 S Lamar Blvd Oxford MS 38655-5243
Phone: (622) 234-1731
Fax: (662) 236-2392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R658723 Mississippi

Profile Details

NPI number 1225026032
LBN Legal business name Mackie, Deanna
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 3rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225026032 NPPES
Mississippi MEDICAID 00123497

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