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

Marquita Mack, LICENSEDPRACTICALN

Individual provider Licensed Practical Nurse · NPI 1154177913

Marquita Mack, LICENSEDPRACTICALN is a Licensed Practical Nurse in Blue Bell, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

960A Harvest Dr # 100
Blue Bell, PA 19422-1991
Phone: (215) 421-8093
Fax: (484) 640-5994
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 PN312757 (PA)

Record details

NPI number1154177913
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDPRACTICALN
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address5836 N Hope St, Phila, PA 19120-2412

Other providers in Blue Bell