Individual
MRS. ROSHUNDIA LYNETTE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHND
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-7600
(601) 483-5543
Mailing address
P.O. BOX 4128, WEST STATION, MERIDIAN, MS 39304-4128
(601) 581-7600
(601) 483-5543
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R866095
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05774759
—
MS
Enumeration date
08/04/2010
Last updated
10/14/2020
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