Individual
JENNIFER LEE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
389 ADAMS ST, AFTON, WY 83110-5056
(307) 885-9883
(307) 885-5206
Mailing address
PO BOX 1011, THAYNE, WY 83127-1011
(801) 380-2899
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53736
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7064545-4405
UT
Other
Enumeration date
02/22/2024
Last updated
08/01/2024
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