Individual provider · Type 1 NPI
Tina Marie McKennon, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1992163422
Active
Practice location
51 N 39th Street, Cupp Building 1st Floor
Philadelphia, PA 19104-2640
Fax (215) 243-3249
Other practice locations
- 1865 Route 70 East, Ste 220, Cherry Hill, NJ 08003-2013 · (856) 429-1519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A0915003 (PA) |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01153900 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP015746 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Philadelphia
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- Elizabeth Ann Prechtel Dunphy, CRNPAdult Health Nurse Practitioner Philadelphia, PA NPI 1023006897
- Deirdre Brett Horan, CRNPAdult Health Nurse Practitioner Philadelphia, PA NPI 1033268024
- Victoria Frondorf, CRNPAdult Health Nurse Practitioner Philadelphia, PA NPI 1033271184
- Melissa Marie BurkeAdult Health Nurse Practitioner Philadelphia, PA NPI 1033583299
- Barbara Ann Rensman, RN CRNPAdult Health Nurse Practitioner Philadelphia, PA NPI 1043223894
About NPI 1992163422
Tina Marie McKennon, CRNP's National Provider Identifier is 1992163422, issued on Jan 28, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2022.