Healthcare Provider Details

I. General information

NPI: 1821332941
Provider Name (Legal Business Name): MARGARET EVERHART MACK PHD, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 HOSPITAL DR
HIGHLANDS NC
28741-7623
US

IV. Provider business mailing address

209 HOSPITAL DR
HIGHLANDS NC
28741-7623
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-4346
  • Fax:
Mailing address:
  • Phone: 828-526-4346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF4287
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4287A
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016222
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: