MRS. JESICA DENISE MCKENZIE NP-C NPI 1235480880

NPI Information

NPI: 1235480880
Provider Name: MRS. JESICA DENISE MCKENZIE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216
Phone: (601) 984-5452
Get Directions

MRS. Jesica Denise Mckenzie, NP-C is a family nurse practitioner in Jackson, MS with 13 years of experience. MRS. Jesica Denise Mckenzie, NP-C NPI is 1235480880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5452
Fax: (601) 815-3322

The NPI 1235480880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2012 and was last updated on 1/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R872871	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	810649	MISSISSIPPI	Yes
3	363LF0000X	Nurse Practitioner	Family	9416834	FLORIDA	No
4	363LF0000X	Nurse Practitioner	Family	8434518-4405	UTAH	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P01753959	MEDICARE PIN	MISSISSIPPI
2	03638074	MEDICAID	MISSISSIPPI
3	505389YJ5D	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »