person
Mckenzie Bonifield
Family Nurse Practitioner in Carbondale, Illinois
NPI 1205411204

Mckenzie Bonifield is a Family Nurse Practitioner based in Carterville, IL and is specialized in Family. Mckenzie Bonifield practices in Carbondale, IL. The NPI Number for Mckenzie Bonifield is 1205411204 and holds a License No. 209022703 (Illinois).

The current practice location address for Mckenzie Bonifield is 400 S Lewis Ln, Carbondale, IL and can be reached out via phone at 618-519-9200. You can also correspond with Mckenzie Bonifield through the mailing address at 109 CALIFORNIA ST, CARTERVILLE, IL - 62918-0577 (mailing address contact number: 618-519-9200).

Location: 400 S Lewis Ln, Carbondale, IL, 62918-0577
person
Provider Profile Details
NPI Number
1205411204
Provider Name
Mckenzie Bonifield
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 S Lewis Ln, Carbondale, IL, 62918-0577
Phone Number
618-519-9200
Fax Number
Provider Enumeration Date
03/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 S Lewis Ln
City
State
Zip
62901-3547
Phone Number
618-519-9200
Fax Number
person
Provider Business Mailing Address Details
Address
400 S Lewis Ln
City
State
Zip
62901-3547
Phone Number
618-519-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209022703 (Illinois)
Definition
Definition to come...
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