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

SUSAN J MACK, RN, FNP

Active

SUSAN J MACK, RN, FNP is a Family Nurse Practitioner healthcare provider located in FLORA, Illinois. NPI 1396955316 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FLORA, IL

Registration Details

NPI Number
1396955316
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.195687943338 yrs)
Last Updated
May 6, 2016
Licenses
070430 (MO)
209007907 (IL)

Practice Information

Address
929 STACY BURK DRIVE
FLORA, IL, 62839
Browse IL providers · Browse ZIP 62839
Phone
6186622191
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FLORA, IL

Name Credential NPI
MR. JAMES EDWARD COWGER JR. APN 1902056138
MRS. ANGELA CASOLARI APN 1316338890
CATHERINE NICOLE DETERS 1013496819
EMILY JILL ARNDT 1184308520
HEATHER LEIGH IRVIN FNP-C 1326820218
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.