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Individual

MS. RUDI MARSHAE MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
70 MEMORIAL DR, PINEHURST, NC 28374-1102
(910) 348-1192
(910) 348-1193
Mailing address
764 WALNUT KNOLL LN STE 202, CORDOVA, TN 38018-3113
(901) 756-5565
(901) 756-5564

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
333688
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5024005
NC

Other

Enumeration date
09/02/2025
Last updated
04/30/2026
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