MISTY DAWN MACKINSON FNP-C NPI 1932868486

NPI Information

NPI: 1932868486
Provider Name: MISTY DAWN MACKINSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1330 W SOUTHPORT RD
INDIANAPOLIS, IN
ZIP 46217
Phone: (317) 884-4256
Get Directions

Misty Dawn Mackinson, FNP-C is a family nurse practitioner in Indianapolis, IN with 5 years of experience. Misty Dawn Mackinson, FNP-C NPI is 1932868486. 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:

1330 W SOUTHPORT RD
INDIANAPOLIS, IN
ZIP 46217-301
Phone: (317) 884-4256

The NPI 1932868486 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 12/13/2021 and was last updated on 8/26/2022.

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		28216430A	INDIANA	No
2	183700000X	Pharmacy Technician		67008022A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	71012983A	INDIANA	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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