| Mackinzie Lee, NP | |
|
1700 University Blvd Ste 8, Jackson, MS 39204-3907 | |
| (601) 502-4245 | |
| Not Available |
| Full Name | Mackinzie Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1700 University Blvd Ste 8, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982292926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 886202 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904736 (Mississippi) | Primary |
| Entity Name | Elite Case Management Agency Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871221549 PECOS PAC ID: 0941676035 Enrollment ID: O20221014000020 |
| Entity Name | Optimal Health And Wellness Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568100923 PECOS PAC ID: 5991173536 Enrollment ID: O20221201002167 |
| Entity Name | Quality Healthcare Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699488072 PECOS PAC ID: 4587038336 Enrollment ID: O20230320000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackinzie Lee, NP 4985 Springridge Rd, Raymond, MS 39154-9492 Ph: () - | Mackinzie Lee, NP 1700 University Blvd Ste 8, Jackson, MS 39204-3907 Ph: (601) 502-4245 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 | |
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400 |