Individual
JUDITH MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BA, APRN, FNP-C
Contact information
Practice address
910 S CENTRAL AVE, MEDFORD, OR 97501-7822
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201906282
OR
Other
Enumeration date
05/10/2018
Last updated
11/22/2019
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