Karen Lee Mackenney
Nurse Practitioner - Family Medicine
135 Vision Park Blvd
Shenandoah
, Texas 77384-3001
Karen Lee Mackenney
Nurse Practitioner - Family Medicine
135 Vision Park Blvd
Shenandoah
, Texas 77384-3001
(281) 290-9824
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Karen Lee Mackenney
- 135 Vision Park Blvd
- Shenandoah, TX
- Zip : 77384-3001
- Fax : (281) 290-9824
- Phone : (281) 404-3000
Second Address
- Karen Lee Mackenney
- 135 Vision Park Blvd
- Shenandoah, TX
- Zip : 77384-3001
- Fax : (281) 290-9824
- Phone : (281) 404-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 564482 | TX |
National Provider Identifier
| NPI | 1003014366 |
|---|---|
| Provider Name | Karen Lee Mackenney |
| First Address | Shenandoah, TX 77384-3001 |
| Second Address | Shenandoah, TX 77384-3001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2007 |
| Last Update Date | 26/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 206017002 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.