Individual
JESSICA EVANS MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
431 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
Mailing address
815 S PINE ST, VIVIAN, LA 71082-3314
(183) 753-2353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
323683
LA
207Q00000X
Family Medicine Physician
Primary
323683
LA
Other
Enumeration date
03/29/2019
Last updated
06/30/2022
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