Heather Mackinnon

Physician Assistant · Potsdam, NY

Individual Active NPI

NPI number 1023460607

Practice location

50 Leroy St
Potsdam, NY 13676-1786
Phone
(315) 265-3300

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NPI record

NPI
1023460607
Entity type
Individual (Type 1)
Enumeration date
July 7, 2016
Last updated
December 28, 2022
Certified
December 28, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 019845 NY

About Heather Mackinnon

Heather Mackinnon is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 50 Leroy St, Potsdam, NY 13676-1786. The NPI number 1023460607 was assigned on July 7, 2016 and the record was last updated on December 28, 2022.

Heather Mackinnon lists a license in the registry: #019845 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Heather Mackinnon?

The NPI number is 1023460607.

What is the phone number of Heather Mackinnon?

The phone number listed for the practice location is (315) 265-3300.

Where is Heather Mackinnon located?

50 Leroy St, Potsdam, NY 13676-1786.

What is the taxonomy code for Heather Mackinnon?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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