Individual
MCKENNA BROOKS TAVENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 TOMAHAWK DR, HIGHLANDVILLE, MO 65669-8355
(417) 848-7555
Mailing address
253 TOMAHAWK DR, HIGHLANDVILLE, MO 65669-8355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2026033001
MO
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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