person
Jacob Mckenzie
Military Health Care Provider in Jonesboro, Arkansas
NPI 1881129153

Jacob Mckenzie is a Military Health Care Provider based in Jonesboro, AR. Jacob Mckenzie practices in Jonesboro, AR. The NPI Number for Jacob Mckenzie is 1881129153 and holds a License No. (Arkansas).

The current practice location address for Jacob Mckenzie is 2707 Browns Ln, Jonesboro, AR and can be reached out via phone at 870-972-4939 and via fax at 870-972-4911. You can also correspond with Jacob Mckenzie through the mailing address at 2707 BROWNS LN, JONESBORO, AR - 72401-7213 (mailing address contact number: 870-972-4939).

Location: 2707 Browns Ln, Jonesboro, AR, 72401-7213
person
Provider Profile Details
NPI Number
1881129153
Provider Name
Jacob Mckenzie
Credential
Provider Entity Type
Individual
Gender
Male
Address
2707 Browns Ln, Jonesboro, AR, 72401-7213
Phone Number
870-972-4939
Fax Number
870-972-4911
Provider Enumeration Date
04/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2707 Browns Ln
City
State
Zip
72401-7213
Phone Number
870-972-4939
Fax Number
870-972-4911
person
Provider Business Mailing Address Details
Address
2707 Browns Ln
City
State
Zip
72401-7213
Phone Number
870-972-4939
Fax Number
870-972-4911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
(Arkansas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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