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JAVONDA ENITRA MACKINS
NPI 1215767736
Licensed Practical Nurse in Syracuse, NY

Active since August 07, 2024
620 MADISON ST, SYRACUSE, NY 13210(315) 426-3985(315) 426-3605 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Javonda Enitra Mackins NPPES

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

JAVONDA ENITRA MACKINS (NPI 1215767736) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (341331) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1215767736
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJAVONDA ENITRA MACKINS
Location Address620 MADISON STSyracuse, NY 13210-2319
Mailing Address1147 Park AveUtica, NY 13501-3810 · (732) 215-8727
Phone(315) 426-3985
Fax(315) 426-3605
Sole ProprietorYes
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1215767736 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 · 341331
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.
620 MADISON ST, Syracuse, NY 13210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ROSS LOUCY
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7675
BROOKE GARROW
Licensed Practical Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
ROXANNE REIMER
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7680
MRS. GLORIA DURU RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3660
DR. KATHARINA EMILY KULIK PSYD
Student in an Organized Health Care Education/Training Program
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
WILBUR THEODORE ALBRECHT III M.D.
Psychiatry & Neurology (Psychiatry)
620 MADISON ST, HUTCHINGS PSYCHIATRIC CENTER
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MERCEDES ALICIA HUNT RN BSN
Registered Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MRS. MAXINE FREE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600

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 Javonda Mackins's NPI number?

The NPI number for Javonda Mackins is 1215767736. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Javonda Mackins located?

Javonda Mackins practices at 620 Madison St, Syracuse, NY 13210. The listed phone number is (315) 426-3985.

What is Javonda Mackins'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 Javonda Mackins was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.