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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE RAE SERGEON, LPN

Active Sole Proprietor

MACKENZIE RAE SERGEON, LPN is a Licensed Practical Nurse healthcare provider located in GASSAWAY, West Virginia. NPI 1114881091 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GASSAWAY, WV

Registration Details

NPI Number
1114881091
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2025 (0.66927008038527 yrs)
Last Updated
Dec 15, 2025
License
42331 (WV)
Sole Proprietor
Yes

Practice Information

Address
64 STATE ST
GASSAWAY, WV, 266241132
Browse WV providers · Browse ZIP 26624
Phone
3046511063
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in GASSAWAY, WV

Name Credential NPI
CINDY TOSTEN 1013657873
NICOLE L LONG 1366159964
STACY FISHER 1114639747
MARY LYNN BUCKHANNON LICENCED PRACTICAL N 1467164996
KAYLA ANNE ROUSH LPN 1700598158
ANGELA GRACE BARNETTE LPN 1275245516
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.