| Doctor Name: | MRS. BARBARA CHARLENE MACKEY |
| NPI Number: | 1003110131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 164567 |
| Business Practice Address: | 1261 Furnace Brook Pkwy Suite 31 Quincy, MA - 021694721 |
| Business Phone Number: | 6174794555 |
| Business Fax Number: | |
| Mailing Address: | 12 S Elizabeth St, TEWKBURY |
| State: | MA |
| Postal Code: | 018763221 |
| Phone Number: | 6034380866 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2011 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 164567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |