Juckett, Mackenzie L
Juckett, Mackenzie L is an individual health care provider with primary practice located at 5 Eves Drive Suite 300, Marlton NJ 08053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Juckett, Mackenzie L can be contacted via phone (856) 596-1600.Contact Information
Primary practice address
5 Eves Drive Suite 300
Marlton NJ 08053
Phone: (856) 596-1600
Fax: (856) 552-3218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ00387900 | New Jersey |
Profile Details
| NPI number | 1801142104 |
|---|---|
| LBN Legal business name | Juckett, Mackenzie L |
| Credentials | MS,APN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Jan 13th, 2015 - about 10 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.
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