Individual
JANAE SUZANN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1915 JEFFERSON ST, QUINCY, IL 62301-5652
(217) 577-2992
(217) 214-6785
Mailing address
1915 JEFFERSON ST, QUINCY, IL 62301-5652
(217) 577-2992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016006756
MO
363LF0000X
Family Nurse Practitioner
Primary
209013948
IL
Other
Enumeration date
03/11/2016
Last updated
08/27/2024
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