MACKENZIE RAYE OWENS CLARK WHNP NPI 1710602636

NPI Information

  • NPI: 1710602636
  • Provider Name: MACKENZIE RAYE OWENS CLARK, WHNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1928 ALCOA HWY
    MEDICAL BUILDING B, SUITE 300
    KNOXVILLE, TN
    ZIP 37920
  • Phone: (865) 305-9799

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NPI Details

Mackenzie Raye Owens Clark, WHNP is a women's health nurse practitioner in Knoxville, TN with 4 years of experience. Mackenzie Raye Owens Clark, WHNP NPI is 1710602636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

1928 ALCOA HWY
MEDICAL BUILDING B, SUITE 300
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-9799

The NPI 1710602636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 1/24/2024.

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
1163W00000XRegistered Nurse253743TENNESSEENo
2363LW0102XNurse PractitionerWomen's Health32574TENNESSEEYes

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: 11/21/2025

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