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

Individual provider Physician Assistant · NPI 1245958370

Mackenzie Nymeyer, PA is a Physician Assistant in Detroit, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12871 E Jefferson Ave
Detroit, MI 48215-2754
Phone: (313) 821-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245958370
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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