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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.

Location: 2707 Browns Ln, Jonesboro, AR, 72401-7213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Jonesboro
State
Arkansas
Zip
72401-7213
Phone Number
870-972-4939
Fax Number
870-972-4911
person
Provider Business Mailing Address Details
Address
2707 Browns Ln
City
Jonesboro
State
Arkansas
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
171000000X
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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