Javonda Enitra Mackins

NPI # 

Practice Address:

620 Madison St

Syracuse, NY, 13210-2319

Practice Phone:

315-426-3985

Practice Fax:

315-426-3605

License Number:

341331

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Licensed Practical Nurse

Taxonomy Code:

164W00000X

Updated by NPPES on 8/7/2024. You can view the original data set for NPI # 1215767736 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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