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

Jenny MS Mack, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1033864152

Jenny MS Mack, AGNP is a Nurse Practitioner in Queensbury, New York. Qualified in 2021, 5 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

161 Carey Rd
Queensbury, NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310673 (NY)

Record details

NPI number1033864152
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Queensbury