NPI 1083205447

McKenzie L Jackson

Practitioner Student in an Organized Health Care Education/Training Program Ames, IA

Practice location

Address: 534 Wallace Rd, Ames, IA 50011-4008
Phone: (712) 427-0168

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083205447
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2021
Record last updated: 28 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.