MCKENZIE WALTERS FP-C
NPI 1992459895
Nurse Practitioner - Family in Canton, MS
Active since February 09, 2022
About Mckenzie Walters Fp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE WALTERS FP-C (NPI 1992459895) is an individual family provider in Canton, Mississippi, licensed in Mississippi (905818) and active in the NPI registry since February 2022.
NPPES Registry Identity
NPI1992459895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKENZIE WALTERSCredential: FP-C
Location Address800 GLENWILD CIR.Canton, MS 39046
Mailing Address800 Glenwild Cir.Canton, MS 39046 · (601) 405-5202
Phone(601) 405-5202
Sole ProprietorNo
Enumeration DateFebruary 9, 2022
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1992459895 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 905818✔ Licensed in SC · 24795
800 GLENWILD CIR., Canton, MS 39046
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992459895, enumerated as an "individual" on February 09, 2022.
The provider is located at 800 GLENWILD CIR. CANTON, MS 39046 and the phone number is (601) 405-5202.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
