| Jennifer Lee Mckinney, PMHNP | |
|
389 Adams St, Afton, WY 83110-5056 | |
| (307) 885-9883 | |
| (307) 885-5206 |
| Full Name | Jennifer Lee Mckinney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 389 Adams St, Afton, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598521056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7064545-4405 (Utah) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53736 (Wyoming) | Primary |
| Entity Name | High Country Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
| Entity Name | High Country Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073209441 PECOS PAC ID: 0547615932 Enrollment ID: O20231004002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Mckinney, PMHNP Po Box 1011, Thayne, WY 83127-1011 Ph: (801) 380-2899 | Jennifer Lee Mckinney, PMHNP 389 Adams St, Afton, WY 83110-5056 Ph: (307) 885-9883 |
Mrs. Susan M. Miner, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47 Doc Perkes, Afton, WY 83110 Phone: 307-883-5500 | |
Mr. Mark Wayne Larsen, MSN-E, FNP-C, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Adams St, Afton, WY 83110 Phone: 885-885-5800 |