Mackey, David Phillip

Mackey, David Phillip is an individual health care provider with primary practice located at 845 S Madison St , Tupelo MS 38801-4905. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mackey, David Phillip can be contacted via phone (662) 377-5930.

Contact Information

Primary practice address
845 S Madison St Tupelo MS 38801-4905
Phone: (662) 377-5930
Fax: (662) 377-5085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X R857999 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R857999 Mississippi

Profile Details

NPI number 1609131358
LBN Legal business name Mackey, David Phillip
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Apr 1st, 2020 - about 6 years ago

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 1609131358 NPPES
Mississippi MEDICAID 03824819

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