NPI 1114881091

Mackenzie Rae Sergeon, LPN

Practitioner Licensed Practical Nurse Gassaway, WV

Practice location

Address: 64 State St, Gassaway, WV 26624-1132
Phone: (304) 651-1063

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 42331 (WV)

Other Licensed Practical Nurse providers in West Virginia →

Registry record

NPI: 1114881091
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2025
Record last updated: 15 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.