TELISSA MACKALL
NPI 1043753379
Licensed Practical Nurse in Columbia, MD

Active since November 18, 2016
8930 STANFORD BLVD, COLUMBIA, MD 21045(443) 285-0807 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Telissa Mackall NPPES

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

TELISSA MACKALL (NPI 1043753379) is an individual licensed practical nurse in Columbia, Maryland, licensed in Maryland (LP46362) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1043753379
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTELISSA MACKALL
Location Address8930 STANFORD BLVDColumbia, MD 21045-5805
Mailing Address8930 Stanford BlvdColumbia, MD 21045-5805
Sole ProprietorNo
Enumeration DateNovember 18, 2016
NPI 1043753379 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 MD · LP46362
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.
8930 STANFORD BLVD, Columbia, MD 21045

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Substance Use Disorder)
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD
COLUMBIA, MD 21045
Licensed Practical Nurse
8930 STANFORD BLVD, M100
COLUMBIA, MD 21045
Local Education Agency (LEA)
8930 STANFORD BLVD
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD
COLUMBIA, MD 21045
Nurse Practitioner (Family)
8930 STANFORD BLVD
COLUMBIA, MD 21045
Counselor (Addiction (Substance Use Disorder))
8930 STANFORD BLVD, M100
COLUMBIA, MD 21045

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 Telissa Mackall's NPI number?

The NPI number for Telissa Mackall is 1043753379. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Telissa Mackall located?

Telissa Mackall practices at 8930 Stanford Blvd, Columbia, MD 21045. The listed phone number is (443) 285-0807.

What is Telissa Mackall'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 Telissa Mackall was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.