Mckenna Brooks Tavenner, is a
Nurse Practitioner based in Highlandville, Missouri. Mckenna Brooks Tavenner is licensed to practice in Missouri (license number 2026033001) and her current practice location is
253 Tomahawk Dr, Highlandville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 848-7555.
NPI number for Mckenna Brooks Tavenner is 1649190042 and her current mailing address is 253 Tomahawk Dr, Highlandville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649190042.
Provider's Profile
| Full Name | Mckenna Brooks Tavenner |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 253 Tomahawk Dr, Highlandville, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649190042
- Provider Enumeration Date: 07/16/2026
- Last Update Date: 07/16/2026
Medical Identifiers
Medical identifiers for Mckenna Brooks Tavenner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649190042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 2026033001 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckenna Brooks Tavenner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mckenna Brooks Tavenner, 253 Tomahawk Dr, Highlandville, MO 65669-8355 Ph: Not Available | Mckenna Brooks Tavenner, 253 Tomahawk Dr, Highlandville, MO 65669-8355 Ph: (417) 848-7555 |
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