Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MACKENZIE LEE ICE, MS, APRN, PMHNP-BC
ActiveMISS MACKENZIE LEE ICE, MS, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LORAIN, Ohio. NPI 1730671405 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LORAIN, OH
Registration Details
- NPI Number
- 1730671405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2018 (8.2352387645059 yrs)
- Last Updated
- Dec 6, 2018
- Licenses
-
435143 (OH)023025 (OH)
Practice Information
- Address
-
6140 S BROADWAYLORAIN, OH, 44053Browse OH providers · Browse ZIP 44053
- Phone
- 4402337232
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in LORAIN, OH
| Name | Credential | NPI |
|---|---|---|
| SUSAN K LEGUIRE | CNP | 1205030400 |
| KIMBERLY MICHELLE GILBERT | NP | 1114229986 |
| MRS. PAMELA DENISE PARDON | PMHNP-BC | 1730425356 |
| MRS. TIFFANY RENEE HAYES | RN, APRN, CNP | 1760724215 |
| JASON DARMSTADT | MSN, PMHNP-BC | 1316316334 |
| JESSICA SMITH | APRN | 1336673425 |
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.