MS. JESIKA LOUANA MCKENZIE RN NPI 1427634997

NPI Information

NPI: 1427634997
Provider Name: MS. JESIKA LOUANA MCKENZIE, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ
ZIP 85395
Phone: (602) 550-8795
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MS. Jesika Louana Mckenzie, RN is a psychiatric/mental health nurse practitioner in Goodyear, AZ with 3 years of experience. MS. Jesika Louana Mckenzie, RN NPI is 1427634997. 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:

13555 W MCDOWELL RD STE 205
GOODYEAR, AZ
ZIP 85395-626
Phone: (602) 550-8795

The NPI 1427634997 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 3/23/2021 and was last updated on 9/11/2023.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN212813	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	260601	ARIZONA	Yes

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

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