Individual provider · NPI-1

Mackenzie Thomas Ledbetter, FNP-C

Family Medicine, Adult Medicine · Alexander City, AL

NPI number1124865118
StatusActive
Last updated in NPPESJul 9, 2024

Details

NPI
1124865118
Entity type
Individual (NPI-1)
Name
Mackenzie Thomas Ledbetter
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 9, 2024
Certification date
Jun 17, 2024
Last updated
Jul 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine1-100396ALYes
363LF0000X Nurse Practitioner, Family1-100396AL

Other names

  • Mackenzie Thomas Ledbetter (Professional Name)

Practice location

815 Lee St
Alexander City, AL 35010-2882

Phone 256-212-9300 · Fax 256-212-9363

Mailing address

815 Lee St
Alexander City, AL 35010-2882

Phone 256-212-9300 · Fax 256-212-9363

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