Nelson, Mckenzie Ann
Nelson, Mckenzie Ann is an individual health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Nelson, Mckenzie Ann can be contacted via phone (225) 757-0552.Contact Information
Primary practice address
5000 Hennessy Blvd
Baton Rouge LA 70808-4375
Phone: (225) 757-0552
Fax: (225) 763-9997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.200718 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.200718 | Louisiana |
Profile Details
| NPI number | 1487060547 |
|---|---|
| LBN Legal business name | Nelson, Mckenzie Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Mar 15th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487060547 | NPPES |
| Louisiana | MEDICAID | 2370138 |
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