MCKENZIE JO DECKER DNP NPI 1245801141

NPI Information

Mckenzie Jo Decker, DNP is a family nurse practitioner in Pocatello, ID with 3 years of experience. Mckenzie Jo Decker, DNP NPI is 1245801141. 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:

2850 OLYMPUS
POCATELLO, ID
ZIP 83201
Phone: (208) 239-3815
Fax: (208) 239-3814

The NPI 1245801141 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 7/2/2021 and was last updated on 2/14/2024.

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:

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