Individual
ELIZABETH JEAN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
121 SHADY CREST AVE, DEVILLE, LA 71328-4000
(318) 794-5552
Mailing address
121 SHADY CREST AVE, DEVILLE, LA 71328-4000
(318) 794-5552
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN144652
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
212175
LA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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