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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MACKENZIE MILLER PA-C
NPI 1679479448
Physician Assistant in Jacksonville, FL

Active since October 17, 2026
5964 NORMANDY BLVD, JACKSONVILLE, FL 32205(904) 378-0121 Get Directions Write a Review

NPPES record added: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mackenzie Miller Pa-c NPPES

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

MACKENZIE MILLER PA-C (NPI 1679479448) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9122619) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1679479448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE MILLERCredential: PA-C
Location Address5964 NORMANDY BLVDJacksonville, FL 32205-6212
Mailing Address10667 Brightman Blvd Apt 6109Jacksonville, FL 32246-7524
Phone(904) 378-0121
Sole ProprietorNo
Enumeration DateOctober 17, 2026
NPPES CertifiedOctober 17, 2026
✔ NPI 1679479448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9122619
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5964 NORMANDY BLVD, Jacksonville, FL 32205
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Other Names 1

Former Name (1)Mackenzie Grace Harden

Other Providers at the Same Location NPPES 4

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

SOLANTIC OF JACKSONVILLE, LLC
Clinic/Center (Urgent Care)
5964 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 378-0121
TAMMY VANN ARNP
Nurse Practitioner (Primary Care)
5964 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 378-0121
MR. MICHAEL SHANE TULGETSKE PA
Physician Assistant
5964 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (951) 259-0912
THOMAS JACKSON DOWNEY P.A.C.
Physician Assistant
5964 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 378-0121

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 Mackenzie Miller's NPI number?

The NPI number for Mackenzie Miller is 1679479448. It was assigned to this individual provider in the NPPES registry on October 17, 2026. The provider is also known as Mackenzie Grace Harden.

Where is Mackenzie Miller located?

Mackenzie Miller practices at 5964 Normandy Blvd, Jacksonville, FL 32205. The listed phone number is (904) 378-0121.

What is Mackenzie Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Miller was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.