Individual
MRS. MACKENZIE JO FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3801 N. LAMAR BLVD, SUITE 300, AUSTIN, TX 78756-4080
(254) 258-3440
(512) 407-1874
Mailing address
620 ATLANTA PARK DR, GEORGETOWN, TX 78628-7182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1029990
TX
363LA2100X
Acute Care Nurse Practitioner
1029990
TX
363LG0600X
Gerontology Nurse Practitioner
1029990
TX
Other
Enumeration date
02/03/2021
Last updated
02/18/2021
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