Individual
JESSE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
326 S RIGGSVILLE DR, MOUNTAIN VIEW, AR 72560-6167
(601) 517-6552
Mailing address
326 S RIGGSVILLE DR, MOUNTAIN VIEW, AR 72560-6167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218146
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
218146
AR
Other
Enumeration date
01/16/2026
Last updated
05/06/2026
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