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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.

Location: 400 S Lewis Ln, Carbondale, IL, 62918-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Carbondale
State
Illinois
Zip
62901-3547
Phone Number
618-519-9200
Fax Number
person
Provider Business Mailing Address Details
Address
400 S Lewis Ln
City
Carbondale
State
Illinois
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
363LF0000X
License No.
209022703 (Illinois)
Definition
Definition to come...
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