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MRS. CARRIE E MCKENZIE AGACNP NPI 1679047971


NPI Information

NPI: 1679047971
Provider Name: MRS. CARRIE E MCKENZIE, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1404 RIVER PL STE 201
BRASELTON, GA
ZIP 30517
Phone: (770) 219-9200
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MRS. Carrie E Mckenzie, AGACNP is an acute care nurse practitioner in Braselton, GA with 4 years of experience. MRS. Carrie E Mckenzie, AGACNP NPI is 1679047971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1404 RIVER PL STE 201
BRASELTON, GA
ZIP 30517-600
Phone: (770) 219-9200

The NPI 1679047971 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 1/20/2019 and was last updated on 10/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN203286GEORGIANo
2163WC2100XRegistered NurseContinence CareRN203286GEORGIANo
3163WW0000XRegistered NurseWound CareRN203286GEORGIANo
4163WX1500XRegistered NurseOstomy CareRN203286GEORGIANo
5363L00000XNurse PractitionerRN203286GEORGIANo
6363LA2100XNurse PractitionerAcute CareRN203286GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NONEOTHERNONE

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

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.