Mckenzie, Roshundia Lynette

Mckenzie, Roshundia Lynette is an individual health care provider with primary practice located at 1818 College Drive , Meridian MS 39307-5429. 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. Mckenzie, Roshundia Lynette can be contacted via phone (601) 581-7600.

Contact Information

Primary practice address
1818 College Drive Meridian MS 39307-5429
Phone: (601) 581-7600
Fax: (601) 483-5543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R866095 Mississippi

Profile Details

NPI number 1700190592
LBN Legal business name Mckenzie, Roshundia Lynette
Credentials FPMHND
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2010
Last updated Oct 14th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700190592 NPPES
Mississippi MEDICAID 05774759

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