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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6758 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| 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 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
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| 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.