Individual
ALEXANDRA HALEY MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN62588
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04583
RI
Other
Enumeration date
08/29/2024
Last updated
12/09/2025
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