Individual
MS. MACKENZIE L JUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,APN
Contact information
Practice address
5 EVES DRIVE, SUITE 300, MARLTON, NJ 08053
(856) 596-1600
(856) 552-3218
Mailing address
5 EVES DRIVE, SUITE 300, MARLTON, NJ 08053
(856) 596-1600
(856) 552-3218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00387900
NJ
Other
Enumeration date
07/24/2012
Last updated
01/13/2015
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