Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Javonda Enitra Mackins

Individual provider Licensed Practical Nurse · NPI 1215767736

Javonda Enitra Mackins is a Licensed Practical Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3985
Fax: (315) 426-3605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 341331 (NY)

Record details

NPI number1215767736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

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