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MRS. TRUDY JOHNETTE MACK LPN
NPI 1003061839
Licensed Practical Nurse in Rochester, NY

Active since November 20, 2008
165 N. WATER STREET, APT. 205, ROCHESTER, NY 14604(585) 286-0097 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Trudy Johnette Mack Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRUDY JOHNETTE MACK LPN (NPI 1003061839) is an individual licensed practical nurse in Rochester, New York, licensed in New York (284904) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1003061839
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. TRUDY JOHNETTE MACKCredential: LPN
Location Address165 N. WATER STREET, APT. 205Rochester, NY 14604
Mailing Address165 N. Water Street, Apt. 205Rochester, NY 14604 · (585) 286-0097
Phone(585) 286-0097
Sole ProprietorNo
Enumeration DateNovember 20, 2008
✔ NPI 1003061839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 284904
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
165 N. WATER STREET, Rochester, NY 14604
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trudy Mack's NPI number?

The NPI number for Trudy Mack is 1003061839. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Trudy Mack located?

Trudy Mack practices at 165 N. Water Street Apt. 205, Rochester, NY 14604. The listed phone number is (585) 286-0097.

What is Trudy Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Trudy Mack was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.