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NPI Code Detail

MEDICARE: DAVID RAYMOND MACKEY BSN

MEDICARE: DAVID RAYMOND MACKEY BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner321473NC

General Provider Information

NPI Number : 1932072659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RAYMOND MACKEY BSN
Provider Business Mailing Address
First Line : 3109 ROWENA AVE
Second Line :
City : DURHAM
State : NC
Zip : 27703-4446
Country : US
Telephone Number : 208-840-1443
Fax Number :
Provider Business Practice Location Address
First Line : 3643 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2702
Country : US
Telephone Number : 919-470-6491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 04/16/2026

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Directions to “ DAVID RAYMOND MACKEY BSN” Practice Location

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