Doctor Name: | JAMIE LEE MCKINNEY |
NPI Number: | 1497068985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RN, FNP-C |
License Number: | AP119203 |
Business Practice Address: | 801 W Hwy 11 Whitewright, TX - 754910000 |
Business Phone Number: | 2145511678 |
Business Fax Number: | |
Mailing Address: | Po Box 732, WHITEWRIGHT |
State: | TX |
Postal Code: | 754910732 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP119203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |