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NPI 1740745702

NPI 1740745702 : MONICA LYNETTE MACKEY NP : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1740745702
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA LYNETTE MACKEY NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2019
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    Last Update Date     |    02/21/2026
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Provider Practice Location Address
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    Address Line         |    4411 MONTGOMERY RD STE 203 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45212-3144
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    Country              |    US
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    Telephone            |    513-704-7472
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    Fax                  |    888-453-0567
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Provider Business Mailing Address
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    Address Line         |    8568 ELMCREEK CT 
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    City                 |    FLORENCE
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    State                |    KY
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    Zip                  |    41042-8023
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    Country              |    US
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    Telephone            |    512-517-0362
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN.CNP.024697
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    3013406
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP140249
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    71010256A
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    License Number State |    IN
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