Mackenzie Leigh Gale, CPNP-PC
Nurse Practitioner, Pediatrics in Springfield, MO. Individual provider (NPI-1).
NPI number1205654027
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1205654027
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mackenzie Leigh Gale
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2024
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2024040091 | MO | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | 2001014349 | MO |
Practice location
1720 W Grand StSpringfield, MO 65802-4802
Phone 417-831-0150
Mailing address
2704 N 29th StOzark, MO 65721-8464
Phone 417-350-8016
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