MRS. ANGELA K. MCKINNESS APN NPI 1912974817

NPI Information

NPI: 1912974817
Provider Name: MRS. ANGELA K. MCKINNESS, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
228 TYLER SUITE 200
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-1973
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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
1	363LF0000X	Nurse Practitioner	Family	AO1299	ARKANSAS	Yes

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
1	S45199	MEDICARE UPIN	ARKANSAS
2	140999758	MEDICAID	ARKANSAS
3	4YTPP	MEDICARE PIN	ARKANSAS
4	1912974817	OTHER	ARKANSAS	BC/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: 4/28/2024

NPI Synchronization or Removal

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