Individual
ALLISON J MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, ML 2011, CINCINNATI, OH 45229-3026
(513) 636-4506
(513) 636-7247
Mailing address
3333 BURNET AVE, ML 2011, CINCINNATI, OH 45229-3026
(513) 636-4506
(513) 636-7247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.06918
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411867
—
OH
05
—
78014909
—
KY
Enumeration date
05/30/2006
Last updated
03/29/2018
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