NPI
Mackenzie Nichole Black
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2024-02-13
- Last updated
- 2024-03-04
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 936 E Wilson St Apt C4
- City
- Bryan OH
- Postal code
- 43506-1860
- Phone
- (419) 799-2208
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Bryan, OH. 419 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.