Individual
MACKENZIE JO MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6758
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
6758
MN
Other
Enumeration date
09/03/2019
Last updated
03/09/2026
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