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

DR. MARY JO M MACKINNON, FNP-C, ND

Active

DR. MARY JO M MACKINNON, FNP-C, ND is a Nurse Practitioner healthcare provider located in PROVIDENCE, Rhode Island. NPI 1932225794 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PROVIDENCE, RI

Registration Details

NPI Number
1932225794
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2007 (19.413926280726 yrs)
Last Updated
Dec 4, 2018
Licenses
259166 (MA)
APRN00581 (RI)

Practice Information

Address
8 ABBOTT PARK PL
PROVIDENCE, RI, 029033703
Browse RI providers · Browse ZIP 02903
Phone
4015981104
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in PROVIDENCE, RI

Name Credential NPI
HELEN LEGENDRE NP 1619975257
ZHANHONG MI CNP 1275533077
MELINDA HODNE RNP 1730189531
FIONA CRAFT NP 1386639631
EVELYN ASANTE NP 1639165004
FRANCES ANN BETTENCOURT NP 1174510853
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.