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

Telissa Mackall

Individual provider Licensed Practical Nurse · NPI 1043753379

Telissa Mackall is a Licensed Practical Nurse in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

8930 Stanford Blvd
Columbia, MD 21045-5805
Phone: (443) 285-0807
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 LP46362 (MD)

Record details

NPI number1043753379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016
Mailing address8930 Stanford Blvd, Columbia, MD 21045-5805

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