| Doctor Name: | JORDAN MCKINNEY |
| NPI Number: | 1134525298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MA057073 |
| Business Practice Address: | 1 Ross Park Blvd Suite G-2 Steubenville, OH - 439522681 |
| Business Phone Number: | 7403462014 |
| Business Fax Number: | 7403462013 |
| Mailing Address: | 380 Summit Ave, Mso Physician Billing STEUBENVILLE |
| State: | OH |
| Postal Code: | 439522667 |
| Phone Number: | 7402837597 |
| Fax Number: | 7402837608 |
| NPI Enumeration Date: | 11/17/2014 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA057073 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |