Davis, Mackenzie Faith

Davis, Mackenzie Faith is an individual health care provider with primary practice located at 741 President Pl Ste 210 , Smyrna TN 37167-6809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Mackenzie Faith can be contacted via phone (615) 625-7780.

Contact Information

Primary practice address
741 President Pl Ste 210 Smyrna TN 37167-6809
Phone: (615) 625-7780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28196 Tennessee

Profile Details

NPI number 1336755099
LBN Legal business name Davis, Mackenzie Faith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2020
Last updated May 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336755099 NPPES
Tennessee MEDICAID Q061103

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