NPI 1154063287

Tywona McKenzie, LPN

Practitioner Licensed Practical Nurse Stone Mountain, GA

Practice location

Address: 1607 Barrington Vw, Stone Mountain, GA 30087-1846
Phone: (678) 582-9317

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002100838 (GA)

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Registry record

NPI: 1154063287
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2022
Record last updated: 9 Apr 2022

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.