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Contact Information

JORDAN MCKENZIE
716 STEVENS AVE
PORTLAND, ME04103-2693
 Phone: 207-221-4516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JORDAN MCKENZIE · (Female)

NPI # 1619752391
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2023
Last updated 08/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ME License # RN78353
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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