MRS. ANGELA K. MCKINNESS APN NPI 1912974817

NPI Information

  • NPI: 1912974817
  • Provider Name: MRS. ANGELA K. MCKINNESS, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 228 TYLER SUITE 200
    WEST MEMPHIS, AR
    ZIP 72301
  • Phone: (870) 735-1973

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NPI Details

MRS. Angela K. Mckinness, APN is a family nurse practitioner in West Memphis, AR. MRS. Angela K. Mckinness, APN NPI is 1912974817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

228 TYLER SUITE 200
WEST MEMPHIS, AR
ZIP 72301-257
Phone: (870) 735-1973
Fax: (870) 735-2204

The enumeration date for this NPI number is 3/1/2006 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAO1299ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S45199MEDICARE UPINARKANSAS
2140999758MEDICAIDARKANSAS
34YTPPMEDICARE PINARKANSAS
41912974817OTHERARKANSASBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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