Individual
MRS. KAYLA RENEA MACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 IL-99, MT. STERLING, IL 62353
(217) 588-9952
Mailing address
21 HOMEWOOD CT, SPRINGFIELD, IL 62704-4874
(217) 588-9952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024975
IL
363LF0000X
Family Nurse Practitioner
Primary
209024975
IL
Other
Enumeration date
04/13/2022
Last updated
04/14/2026
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