Individual
JENNIFER MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 KENDALL ST, WORCESTER, MA 01605-2726
(508) 334-8765
(774) 443-7360
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2270010
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2270010
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106255A
—
MA
Enumeration date
05/28/2015
Last updated
03/08/2022
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