Mckinnon, Wendy

Mckinnon, Wendy is an individual health care provider with primary practice located at 802 Medical Dr Ste 202 , Longview TX 75605-5203. 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 / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Mckinnon, Wendy can be contacted via phone (903) 315-2744.

Contact Information

Primary practice address
802 Medical Dr Ste 202 Longview TX 75605-5203
Phone: (903) 315-2744
Fax: (903) 234-1339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP121666 Texas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 648633 Texas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP121666 Texas

Profile Details

NPI number 1790051548
LBN Legal business name Mckinnon, Wendy
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Jul 12th, 2024 - about 2 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 1790051548 NPPES
Texas MEDICAID 303491003

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