Provider Demographics
NPI:1063922813
Name:ALLEN, MAKENZIE (FNP-C)
Entity type:Individual
Prefix:
First Name:MAKENZIE
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26302 CRESTON CLIFF CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2777
Mailing Address - Country:US
Mailing Address - Phone:214-212-4582
Mailing Address - Fax:
Practice Address - Street 1:26302 CRESTON CLIFF CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2777
Practice Address - Country:US
Practice Address - Phone:214-212-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily