Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Venus Mackenzie, AG-ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1265314280

Dr. Jennifer Venus Mackenzie, AG-ACNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Maryland and Virginia.

Years since qualifying
1
Licensed in
MD, VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-8667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 — (757) 395-2323

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R256014 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0024195196 (VA)

Record details

NPI number1265314280
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP-BC
Sole proprietorNo
NPI enumeratedJuly 22, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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