Search › Indiana › 363LF0000X
Misty Mackinson, FNP-C
NPI 1932868486 · on the registry since 2021
Practice
- Address
- 1330 W Southport Rd
Indianapolis, IN 46217 - Phone
- (317) 884-4256
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
183700000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-26
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 Indiana