| NPI | 1427634997 |
|---|---|
| Former Name | JESIKA MCKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 260601) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN212813) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-02-03 |