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Allison J Mack, CNP

Nurse Practitioner in Cincinnati, OH. Individual provider (NPI-1).

NPI number1265489652
StatusActive
Last updated in NPPESMar 29, 2018

Details

NPI
1265489652
Entity type
Individual (NPI-1)
Name
Allison J Mack
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2006
Last updated
Mar 29, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN.CNP.06918OHYes

Practice location

3333 Burnet Ave
Ml 2011
Cincinnati, OH 45229-3026

Phone 513-636-4506 · Fax 513-636-7247

Mailing address

3333 Burnet Ave
Ml 2011
Cincinnati, OH 45229-3026

Phone 513-636-4506 · Fax 513-636-7247

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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