Individual provider · Type 1 NPI

Charles James McKenna

Acute Care Nurse Practitioner · Plano, TX

NPI number 1679110332 Active

Practice location

6124 W Parker Rd Ste 530
Plano, TX 75093-8140

Mailing address

8904 Quarry Ridge Trail
Keller, TX 76244

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP141458 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1679110332

Charles James McKenna's National Provider Identifier is 1679110332, issued on Dec 2, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Plano, TX. The record was last updated on Dec 2, 2019.