Provider Demographics
NPI:1902502263
Name:JONES, MCKENZI LAYNE (PA-C)
Entity type:Individual
Prefix:
First Name:MCKENZI
Middle Name:LAYNE
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST STE 103
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1764
Mailing Address - Country:US
Mailing Address - Phone:806-680-1535
Mailing Address - Fax:
Practice Address - Street 1:1301 S COULTER ST STE 103
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1764
Practice Address - Country:US
Practice Address - Phone:806-680-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty