DR. MARY JO M MACKINNON FNP-C, ND
NPI 1932225794
Nurse Practitioner in Providence, RI

Active since March 22, 2007
8 ABBOTT PARK PL, PROVIDENCE, RI 02903(401) 598-1104 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mary Jo M Mackinnon Fnp-c, Nd NPPES

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

DR. MARY JO M MACKINNON FNP-C, ND (NPI 1932225794) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN00581) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1932225794
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. MARY JO M MACKINNONCredential: FNP-C, ND
Location Address8 ABBOTT PARK PLProvidence, RI 02903-3703
Mailing Address68 Wood Cove DrCoventry, RI 02816-6611 · (303) 981-4407
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateDecember 4, 2018
NPI 1932225794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in RI · APRN00581 Licensed in MA · 259166
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8 ABBOTT PARK PL, Providence, RI 02903

Other Providers at the Same Location NPPES 9

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

Specialist/Technologist (Athletic Trainer)
8 ABBOTT PARK PL, ATHLETIC DEPARTMENT
PROVIDENCE, RI 02903
Specialist/Technologist (Athletic Trainer)
8 ABBOTT PARK PL
PROVIDENCE, RI 02903
Specialist/Technologist (Athletic Trainer)
8 ABBOTT PARK PL
PROVIDENCE, RI 02903
Social Worker (Clinical)
8 ABBOTT PARK PL
PROVIDENCE, RI 02903
Social Worker (Clinical)
8 ABBOTT PARK PL
PROVIDENCE, RI 02903
Social Worker (Clinical)
8 ABBOTT PARK PL, WALES HALL, 2ND FLOOR
PROVIDENCE, RI 02903
Physician Assistant
8 ABBOTT PARK PL
PROVIDENCE, RI 02903
Physician Assistant
8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932225794, enumerated as an "individual" on March 22, 2007.

The provider is located at 8 ABBOTT PARK PL PROVIDENCE, RI 02903 and the phone number is (401) 598-1104.

Nurse Practitioner with taxonomy code 363L00000X.