Individual provider · Type 1 NPI
Edyn McKinnon
Psychiatric/Mental Health Nurse Practitioner · Axson, GA
NPI number
1235595604
Active
Practice location
3950 Ga Highway 64 E
Axson, GA 31624-2032
Fax (628) 246-8299
Other practice locations
- 408 Shirley Ave, Douglas, GA 31533-2002 · (912) 592-3152
- 1101 Ocilla Rd, Douglas, GA 31533 · (912) 384-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN216659 (GA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11021035 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN216659 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1235595604
Edyn McKinnon's National Provider Identifier is 1235595604, issued on Jan 14, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Axson, GA. The record was last updated on Sep 7, 2024.