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

Mackenzie Rae Sergeon, LPN

Individual provider Licensed Practical Nurse · NPI 1114881091

Mackenzie Rae Sergeon, LPN is a Licensed Practical Nurse in Gassaway, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

64 State St
Gassaway, WV 26624-1132
Phone: (304) 651-1063
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 42331 (WV)

Record details

NPI number1114881091
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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