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Individual

MACKENZIE RAYE OWENS CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
1928 ALCOA HWY, MEDICAL BUILDING B, SUITE 300, KNOXVILLE, TN 37920
(865) 305-9799
Mailing address
1101 WILSON BLVD FL 6, ARLINGTON, VA 22209-2281

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253743
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
32574
TN

Other

Enumeration date
10/04/2022
Last updated
01/23/2026
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