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

Mackenzie Rochon Clark, APNP

Individual provider Registered Nurse · NPI 1417396524

Mackenzie Rochon Clark, APNP is a Registered Nurse in Fitchburg, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone: (608) 276-4660
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 4852-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 155942-30 (WI)

Record details

NPI number1417396524
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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