IndividualActive
Destiny Mack
NPI 1629677398 · Medical Physician Assistant · Washington, DC
Provider details
- NPI number
- 1629677398
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 23rd St Nw
Washington, DC 20037-2342
Phone: (202) 715-4000
Fax: (202) 715-4015
Approximate (ZIP-level) locationGet directions
Mailing address
2309 Shorefield Rd Apt 122
Silver Spring, MD 20902-1853
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.