Individual provider · Type 1 NPI
Mary Jane McKinnie, NP
Adult Health Nurse Practitioner · Lake Charles, LA
NPI number
1689774259
Active
Practice location
905 11th St
Lake Charles, LA 70601-6230
Fax (337) 433-7117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP05000 (LA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1689774259
Mary Jane McKinnie, NP's National Provider Identifier is 1689774259, issued on Sep 24, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Charles, LA. The record was last updated on Nov 13, 2008.