Individual
JANA M MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
24 OLD ETNA ROAD, LEBANON CENTER GENESIS, LEBANON, NH 03301-7504
(603) 448-2234
(603) 448-2087
Mailing address
545 PALISADO AVE, GENESIS PHYSICIAN SVCS., WINDSOR, CT 06095-2071
(860) 687-3629
(860) 687-3622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
037924-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340527
—
NH
Enumeration date
03/09/2006
Last updated
08/21/2014
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