KYLA JONES WYNN


Address: 5900 Highway 225, Medical Building, Deer Park, TX 77536-2434
Phone: 7132466932

KYLA JONES WYNN (NPI# 1073972527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073972527
Entity Type Individual
Full Name KYLA JONES WYNN
Credential NP
Practice Address 5900 Highway 225
Medical Building
Deer Park
TX 77536-2434
Practice Telephone 7132466932
Practice Fax Number 7132467811
Mailing Telephone 7132466932
Mailing Fax Number 7132467811
Enumeration Date 2016-02-12
Last Update Date 2016-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SX0106X Clinical Nurse Specialist
Specialization: Occupational Health
AP121958 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5900 HIGHWAY 225
MEDICAL BUILDING
City DEER PARK
State TX
Zip Code 77536-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013993278 Derrick Leon Cameron Family Medicine 5900 Highway 225, Deer Park, TX 77536-2434 2005-12-20
1174725246 Thomas R Strawmyer Preventive Medicine 5900 Highway 225, Deer Park, TX 77536-2434 2007-06-01

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Taxonomy Information

Taxonomy Code 364SX0106X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Occupational Health

Taxonomy Definition

Definition to come...

Competitor

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City DEER PARK
Zip Code 77536

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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