Search › Georgia › Family Nurse Practitioner
Kakethia Mack, NURSE PRACTITIONER
NPI 1346748837 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4124 Bosenberry Way
Ellenwood, GA 30294 - Phone
- (678) 463-6568
- Fax
- (678) 463-6568
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia