National Provider Identifier
Mackenzie Nicole McClure
Mackenzie Nicole McClure is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Elmira, NY and a listed phone number of (607) 207-9755.
Profile Overview
- NPI
- 1407533649
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 29, 2023
- Last Updated
- June 29, 2023
Practice Location
- 503 Park Pl
- Elmira, NY 14901-2428
Phone: (607) 207-9755
Mailing Address
- 614 Chester St
- Elmira, NY 14904-1640
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1407533649
- Entity Type
- Individual
- Last Name
- McClure
- First Name
- Mackenzie
- Middle Name
- Nicole
- Mailing Street Address
- 614 Chester St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-1640
- Mailing Country
- US
- Mailing Phone
- (607) 742-2560
- Practice Street Address
- 503 Park Pl
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2428
- Practice Country
- US
- Practice Phone
- (607) 207-9755
- Enumeration Date
- June 29, 2023
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)