Individual
MS. CAROL ISAAC MACKUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
89 HOSPITAL DR STE B, BREVARD, NC 28712-4838
(828) 333-4806
(828) 883-3331
Mailing address
89 HOSPITAL DR STE B, BREVARD, NC 28712-4838
(828) 333-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011510
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
MACK-18NGWV
NC
Other
Enumeration date
02/14/2019
Last updated
11/15/2024
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