Individual
DAWN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 223-8400
(217) 222-9807
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 222-9807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2019019293
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
209011861
IL
363LA2200X
Adult Health Nurse Practitioner
SP012399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012399
PA STATE LICENSE
PA
Enumeration date
09/26/2012
Last updated
11/27/2023
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