MACKENZIE TRAVIS NPI 1578183067

NPI Information

NPI: 1578183067
Provider Name: MACKENZIE TRAVIS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-9000
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Mackenzie Travis is a pediatrics nurse practitioner in Knoxville, TN. Mackenzie Travis NPI is 1578183067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920-511
Phone: (865) 305-9000

The enumeration date for this NPI number is 4/24/2020 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		216365	TENNESSEE	No
2	363LP0200X	Nurse Practitioner	Pediatrics	30846	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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