MACKENZIE JO MCLEAN


Address: 701 Park Ave, Minneapolis, MN 55415-1623
Phone: 6128735014

MACKENZIE JO MCLEAN (NPI# 1982252821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982252821
Entity Type Individual
Full Name MACKENZIE JO MCLEAN
Other Name MACKENZIE JO CARROLL
Credential DNP, APRN, CNP
Practice Address 701 Park Ave
Minneapolis
MN 55415-1623
Mailing Address 561 Lafayette St Ne
Fridley
MN 55432-1647
Practice Telephone 6128735014
Enumeration Date 2019-09-03
Last Update Date 2020-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
6758 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 701 PARK AVE
City MINNEAPOLIS
State MN
Zip Code 55415-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750387734 David C Templeman Orthopaedic Surgery 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 2005-06-23
1164029336 James Wayne Fisher Psychologist 701 Park Ave, Minneapolis, MN 55415-1623 2020-10-01
1396351482 Emily Ann Beck Physical Therapist 701 Park Ave, Minneapolis, MN 55415-1623 2020-09-23
1932714524 Manju Elizabeth Alexander Psychologist 701 Park Ave, Minneapolis, MN 55415-1623 2020-09-10
1043838675 Ayan Hashi Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-07-09
1366068561 Roberto Emilio Fu Carrasco Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-06-23
1104448810 Michael Berryman Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-15
1811519192 Viktoriya A. Ishchuk Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-10
1861014235 Abdurahman Salah Ibrahim Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-08
1962024430 Timothy Baerg Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114547643 Kevin Reininger Pharmacist 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 2020-04-24
1124674551 Andrew Michael Baker Pathology Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 2019-08-12
1598326951 Monazza Iqbal Chaudhry Student in an Organized Health Care Education/Training Program Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 2019-06-26
1760947196 Brandon Haas Pharmacist 701 Park Ave Rll, Minneapolis, MN 55415 2019-02-11
1710474192 Andrea Kramer Student in an Organized Health Care Education/Training Program Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 2018-04-20
1750888640 Alexandra Rose Coward Student in an Organized Health Care Education/Training Program Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 2018-04-09
1194235861 Gretchen Jane Vanderlinden-wang Social Worker Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 2017-10-06
1720501117 Dominique Lacha Jones Advanced Practice Midwife 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 2017-07-18
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1215469689 Michael Reitz Student in an Organized Health Care Education/Training Program 701 Park Avenue, B5.118, Minneapolis, MN 55415 2017-04-03
Find all providers in zip 55415

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083027536 Mueni C Mualuko Nurse Practitioner 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 2014-06-03
1487937892 Jonathan Deforest Olson Nurse Practitioner 30 W 22nd St, #204, Minneapolis, MN 55404-2428 2011-09-21
1386738995 Jean F Wyman Nurse Practitioner Dept of Ob/gyn & Women's Health, 420 Delaware Street Se Mmc 395, Minneapolis, MN 55455 2006-10-03
1861593212 Donna Mae Aske Nurse Practitioner 1 Veteran Drive, Minneapolis, MN 55417 2006-09-26
1326082991 Patricia Anne Camillo Nurse Practitioner 2900 Thomas Ave S Apt 1903, Minneapolis, MN 55416-4583 2006-06-15
1730128505 Sarah Louise Isakson Nurse Practitioner Mail Route 11414, 800 E. 28th Street, Minneapolis, MN 55407-3799 2006-06-06
1972121952 Alicia Joy Minnis Nurse Practitioner 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 2020-07-07
1508485970 Christina Bricout Nurse Practitioner 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 2020-04-15
1033746714 Jennifer Voss Nurse Practitioner 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 2020-03-24
1972153443 Marianne Loftus Nurse Practitioner 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 2019-09-17
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Competitor

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City MINNEAPOLIS
Zip Code 55415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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