Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE GROVES
Active Sole ProprietorMACKENZIE GROVES is a Medical Physician Assistant healthcare provider located in BRIGANTINE, New Jersey. NPI 1528542396 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BRIGANTINE, NJ
Registration Details
- NPI Number
- 1528542396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2018 (7.8836276678862 yrs)
- Last Updated
- Sep 18, 2018
- License
-
25MP00478900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4248 HARBOUR BCH BLVDBRIGANTINE, NJ, 082031361Browse NJ providers · Browse ZIP 08203
- Phone
- 6092660400
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BRIGANTINE, NJ
| Name | Credential | NPI |
|---|---|---|
| KELLY SYKES | PA-C | 1629327655 |
| KAITLIN YOUNG | PA-C | 1073055083 |
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.