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John Tyler Mcinnis, NP
Gerontology Nurse Practitioner in Texarkana, Texas
NPI 1568132629

John Tyler Mcinnis is a Gerontology Nurse Practitioner based in Texarkana, TX and is specialized in Gerontology. John Tyler Mcinnis practices in Texarkana, TX and has the professional credentials of NP. The NPI Number for John Tyler Mcinnis is 1568132629 and holds a License No. AP214920 (Texas).

The current practice location address for John Tyler Mcinnis is 600 W 52Nd St, Texarkana, TX and can be reached out via phone at 903-792-6700.

Location: 600 W 52Nd St, Texarkana, TX, 75504-0811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568132629
Provider Name
John Tyler Mcinnis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
600 W 52Nd St, Texarkana, TX, 75504-0811
Phone Number
903-792-6700
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 W 52Nd St
City
Texarkana
State
Texas
Zip
75503-2980
Phone Number
903-792-6700
Fax Number
person
Provider Business Mailing Address Details
Address
600 W 52Nd St
City
Texarkana
State
Texas
Zip
75503-2980
Phone Number
903-792-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
AP214920 (Arkansas)
Definition
Definition to come...
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