Felisha Mack
Felisha Mack is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2022, 4 years ago. Practices with Step Up Care PC LLC, a 175-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 4
- Licensed in
- CT
- In the registry since
- 2017
Practice location Address checks out
1635 Central AveBridgeport, CT 06610-2717
Phone: (475) 439-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 007383 (CT) |
|---|
Record details
| NPI number | 1851805832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 28, 2017 |
| Last updated in NPPES | November 28, 2017 |
| Mailing address | 1635 Central Ave, Bridgeport, CT 06610-2717 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Step Up Care Pc Llc — 175 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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