Taylor-Mckenna, Vicky L

Taylor-Mckenna, Vicky L is an individual health care provider with primary practice located at 17201 I H 45 S , Shenandoah TX 77385-3311. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Taylor-Mckenna, Vicky L can be contacted via phone (936) 270-2099.

Contact Information

Primary practice address
17201 I H 45 S Shenandoah TX 77385-3311
Phone: (936) 270-2099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 564468 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP112768 Texas

Profile Details

NPI number 1497754642
LBN Legal business name Taylor-Mckenna, Vicky L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497754642 NPPES
Texas MEDICAID 1650970-01

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