Healthcare Provider Details

I. General information

NPI: 1326703968
Provider Name (Legal Business Name): MAKENZIE ZOE MIZELL BSN, RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4037 RURAL PLAINS CIR STE 150
FRANKLIN TN
37064-1868
US

IV. Provider business mailing address

4113 MURFREESBORO RD
FRANKLIN TN
37067-4062
US

V. Phone/Fax

Practice location:
  • Phone: 615-550-5880
  • Fax: 615-559-5889
Mailing address:
  • Phone: 931-309-7713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000255872
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: