Individual
MRS. ROBIN LYNN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-3801
Mailing address
253 TIMBERLINE DR, MADISON, MS 39110-9671
(601) 856-5280
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R678236
MS
Other
Enumeration date
08/20/2006
Last updated
07/21/2022
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