Individual
ILA LEIGH MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4700 SANDOZ DR, WILSON, NC 27893-8143
(252) 234-2436
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0050-03231
NC
363L00000X
Nurse Practitioner
Primary
5003231
NC
Other
Enumeration date
07/27/2007
Last updated
07/25/2022
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