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

Mackenzey Tallman

Individual provider Pediatric Nurse Practitioner · NPI 1396562245

Mackenzey Tallman is a Pediatric Nurse Practitioner in Geneva, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

200 N St Ste 101
Geneva, NY 14456-1561
Phone: (315) 787-5200
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 383690 (NY)

Record details

NPI number1396562245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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