person
Ms. Carla Shavonne Mckenzie, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Blythewood, South Carolina
NPI 1043075096

Carla Shavonne Mckenzie is a Psychiatric/Mental Health Nurse Practitioner based in Blythewood, SC and is specialized in Psychiatric/Mental Health. Carla Shavonne Mckenzie practices in Blythewood, SC and has the professional credentials of PMHNP-BC. The NPI Number for Carla Shavonne Mckenzie is 1043075096 and holds a License No. 28311 (South Carolina).

The current practice location address for Carla Shavonne Mckenzie is 749 S Sage Drop Rd, Blythewood, SC and can be reached out via phone at 347-276-0901.

Location: 749 S Sage Drop Rd, Blythewood, SC, 29016-9265
person
Provider Profile Details
NPI Number
1043075096
Provider Name
Carla Shavonne Mckenzie
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
749 S Sage Drop Rd, Blythewood, SC, 29016-9265
Phone Number
347-276-0901
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
749 S Sage Drop Rd
City
State
Zip
29016-9265
Phone Number
347-276-0901
Fax Number
person
Provider Business Mailing Address Details
Address
749 S Sage Drop Rd
City
State
Zip
29016-9265
Phone Number
347-276-0901
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28311 (South Carolina)
Definition
Definition to come...
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