Provider Demographics
NPI:1386436061
Name:COWART, MCKENNA CHRISTINE (FNP)
Entity type:Individual
Prefix:
First Name:MCKENNA
Middle Name:CHRISTINE
Last Name:COWART
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HERO DR
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2205
Mailing Address - Country:US
Mailing Address - Phone:912-223-7001
Mailing Address - Fax:
Practice Address - Street 1:105 HERO DR
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2205
Practice Address - Country:US
Practice Address - Phone:912-223-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025016861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily