Individual provider · Type 1 NPI

McKinley Willingham

Licensed Practical Nurse · Memphis, TN

NPI number 1114349313 Active

Practice location

6821 Raleigh Lagrange Rd
Memphis, TN 38134-7031

Fax (901) 255-0758

Mailing address

8295 Tournament Dr, 150
Memphis, TN 38125-8906

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X14090 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114349313

McKinley Willingham's National Provider Identifier is 1114349313, issued on Jan 8, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Memphis, TN. The record was last updated on Jan 8, 2014.