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Mary Mckenzie, FNP-BC
Family Nurse Practitioner in Longview, Texas
NPI 1013012509

Mary Mckenzie is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Mary Mckenzie practices in Longview, TX and has the professional credentials of FNP-BC. The NPI Number for Mary Mckenzie is 1013012509 and holds a License No. 556727 (Texas).

The current practice location address for Mary Mckenzie is 2021 W Loop 281, Longview, TX and can be reached out via phone at 903-295-1396.

Location: 2021 W Loop 281, Longview, TX, 75284-7176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013012509
Provider Name
Mary Mckenzie
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2021 W Loop 281, Longview, TX, 75284-7176
Phone Number
903-295-1396
Fax Number
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N3057 01 TX BLUE CROSS BLUE SHIELD
127102509 05 TX
institution
Provider Business Practice Location Address Details
Address
2021 W Loop 281
City
Longview
State
Texas
Zip
75604-2504
Phone Number
903-295-1396
Fax Number
person
Provider Business Mailing Address Details
Address
2021 W Loop 281
City
Longview
State
Texas
Zip
75604-2504
Phone Number
903-295-1396
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
556727 (Texas)
Definition
Definition to come...
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