Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA M MCKENZIE, FNP
ActiveJENNA M MCKENZIE, FNP is a Family Nurse Practitioner healthcare provider located in LAKE RONKONKOMA, New York. NPI 1225412208 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1225412208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2015 (11.098350794293 yrs)
- Last Updated
- Sep 21, 2021
- Licenses
-
661769 (NY)340249 (NY)
Practice Information
- Address
-
640 HAWKINS AVELAKE RONKONKOMA, NY, 117792324Browse NY providers · Browse ZIP 11779
- Phone
- 6317370100
- Fax
- 6314711117
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.