IndividualActive
Mackenzie Ponnapalli, AG-CNS
NPI 1396331302 · Clinical Nurse Specialist · Houston, TX
Provider details
- NPI number
- 1396331302
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 1012648 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7200 Cambridge St Fl 6
Houston, TX 77030-4202
Phone: (713) 798-2545
Approximate (ZIP-level) locationGet directions
Mailing address
1331 W Grand Pkwy N Ste 130
Katy, TX 77493-2711
Additional practice locations (1)
- 20710 Westheimer PkwyKaty, TX 77450-6256Phone: (281) 646-9000Fax: (281) 206-2311
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.