Individual
MACKENZIE ALYSE POLOCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1530 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3733
(423) 507-8951
Mailing address
639 RICHLAND CREEK DR, BLAINE, TN 37709-5441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
39071
TN
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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