Individual provider · Type 1 NPI

McKenzie Bonifield

Family Nurse Practitioner · Carbondale, IL

NPI number 1205411204 Active

Practice location

400 S Lewis Ln
Carbondale, IL 62901-3547

Mailing address

109 California St, PO Box 577
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209022703 (IL)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1205411204

McKenzie Bonifield's National Provider Identifier is 1205411204, issued on Mar 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 17, 2021.