Mackinson, Misty Dawn

Mackinson, Misty Dawn is an individual health care provider with primary practice located at 1330 W Southport Rd , Indianapolis IN 46217-5301. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Pharmacy Service Providers / Pharmacy Technician, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mackinson, Misty Dawn can be contacted via phone (317) 884-4256.

Contact Information

Primary practice address
1330 W Southport Rd Indianapolis IN 46217-5301
Phone: (317) 884-4256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28216430A Indiana
Pharmacy Service Providers / Pharmacy Technician 183700000X 67008022A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012983A Indiana

Profile Details

NPI number 1932868486
LBN Legal business name Mackinson, Misty Dawn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Aug 26th, 2022 - about 4 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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