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

Q: What is Mary Jo Mackinnon's NPI number?

The NPI number for Mary Jo Mackinnon is 1932225794. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Mary Jo Mackinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jo Mackinnon was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: August 16, 2026.

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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

Phone(401) 598-1104

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

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Other Providers at the Same Location NPPES 14

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

KLAUDIA MARIA SZMACINSKI

Physician Assistant

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-2381

MELANIE MACK PA-C

Physician Assistant

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-2381

HANNAH YI PA-C

Physician Assistant

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-2381

DANIELLE K TRUDEAU PA-C

Physician Assistant

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-4558

MS. LESLEY YVONNE ROY LICSW

Social Worker (Clinical)

8 ABBOTT PARK PL, WALES HALL, 2ND FLOOR
PROVIDENCE, RI 02903

Providence County (401) 598-1016

RACHEL ELIZABETH MILLEN MS, ATC

Specialist/Technologist (Athletic Trainer)

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-1997

ALEXANDER LAORENZA

Social Worker (Clinical)

8 ABBOTT PARK PL
PROVIDENCE, RI 02903

Providence County (401) 598-1016

MR. ALAN SEGEE M.ED., ATC

Specialist/Technologist (Athletic Trainer)

8 ABBOTT PARK PL, ATHLETIC DEPARTMENT
PROVIDENCE, RI 02903

Providence County (401) 598-1626

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 Mary Jo Mackinnon's NPI number?

The NPI number for Mary Jo Mackinnon is 1932225794. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Mary Jo Mackinnon located?

Mary Jo Mackinnon practices at 8 Abbott Park Pl, Providence, RI 02903. The listed phone number is (401) 598-1104.

What is Mary Jo Mackinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Jo Mackinnon was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.