IndividualActive
Jordan Mckenzie
NPI 1619752391 · Critical Care Medicine Registered Nurse · Portland, ME
Provider details
- NPI number
- 1619752391
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN78353 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
716 Stevens Ave
Portland, ME 04103-2693
Phone: (207) 221-4516
Approximate (ZIP-level) locationGet directions
Mailing address
716 Stevens Ave
Portland, ME 04103-2693
Registry dates
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.