Elizabeth Jean McKenzie, APRN
Nurse Practitioner, Pediatrics in Deville, LA. Individual provider (NPI-1).
NPI number1164032462
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1164032462
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Jean McKenzie
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 212175 | LA | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | RN144652 | LA |
Practice location
121 Shady Crest AveDeville, LA 71328-4000
Phone 318-794-5552
Mailing address
121 Shady Crest AveDeville, LA 71328-4000
Phone 318-794-5552
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Nurse Practitioner providers in Deville, LA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.