Individual provider · Type 1 NPI
McKenna Brooks Tavenner
Nurse Practitioner · Highlandville, MO
Practice location
253 Tomahawk Dr
Highlandville, MO 65669-8355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2026033001 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1649190042
McKenna Brooks Tavenner's National Provider Identifier is 1649190042, issued on Jul 16, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Highlandville, MO. The record was last updated on Jul 16, 2026.