Nikonovich, Mckenzie Leigh

Nikonovich, Mckenzie Leigh is an individual health care provider with primary practice located at 6805 State Route 162 Ste 201 , Maryville IL 62062-8530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Nikonovich, Mckenzie Leigh can be contacted via phone (618) 288-5019.

Contact Information

Primary practice address
6805 State Route 162 Ste 201 Maryville IL 62062-8530
Phone: (618) 288-5019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.034755 Illinois

Profile Details

NPI number 1518810852
LBN Legal business name Nikonovich, Mckenzie Leigh
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2026
Last updated Feb 17th, 2026 - about 8 months 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.

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