Individual
MACKIE K. ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
29 GOULD ST, WEST ROXBURY, MA 02132-5024
(617) 596-7201
Mailing address
29 GOULD ST, WEST ROXBURY, MA 02132-5024
(617) 596-7201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN251788
MA
372500000X
Chore Provider
Primary
251788
MA
Other
Enumeration date
02/02/2012
Last updated
01/06/2025
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