Individual
MACKENZIE LYNN AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2130 SW 59TH ST, OKLAHOMA CITY, OK 73119-7025
(405) 303-7555
(405) 561-5615
Mailing address
PO BOX 740020, ATLANTA, GA 30374-0020
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0118628
OK
363LF0000X
Family Nurse Practitioner
Primary
118628
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200895920
—
OK
Enumeration date
04/25/2019
Last updated
08/16/2024
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