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

Mrs. Mackenzie Gibbons, FNP

Individual provider Family Nurse Practitioner · NPI 1629629761

Mrs. Mackenzie Gibbons, FNP is a Nurse Practitioner in Somerville, Tennessee. Qualified in 2019, 7 years ago. Practices with Desoto Family Medical Center, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

16532 US Highway 64
Somerville, TN 38068-6185
Phone: (901) 813-8138
Fax: (901) 813-8793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Carson St, Jonesboro, AR 72401-3104 — (870) 932-1198

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26479 (TN)

Record details

NPI number1629629761
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Desoto Family Medical Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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