Provider Demographics
NPI:1558850651
Name:MCINERNEY, JOHN RYAN (DNP, RN)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RYAN
Last Name:MCINERNEY
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Gender:M
Credentials:DNP, RN
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Other - Credentials:
Mailing Address - Street 1:WEED ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:BLDG 390 NORTH LOOP ROAD
Mailing Address - City:FORT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310
Mailing Address - Country:US
Mailing Address - Phone:760-383-5454
Mailing Address - Fax:
Practice Address - Street 1:IRWIN ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:650 HUEBNER ROAD
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-4030
Practice Address - Country:US
Practice Address - Phone:785-239-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2023-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI30-152760163WP0808X
WI9331-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health