person
Ms. Sandra Kinnan, NP
Psychiatric/Mental Health Nurse Practitioner in Hattiesburg, Mississippi
NPI 1093722662

Sandra Kinnan is a Psychiatric/Mental Health Nurse Practitioner based in Hattiesburg, MS and is specialized in Psychiatric/Mental Health. Sandra Kinnan practices in Hattiesburg, MS and has the professional credentials of NP. The NPI Number for Sandra Kinnan is 1093722662 and holds a License No. R722863 (Mississippi).

The current practice location address for Sandra Kinnan is 103 S 19Th Ave, Hattiesburg, MS and can be reached out via phone at 601-544-4641 and via fax at 601-584-4053. You can also correspond with Sandra Kinnan through the mailing address at PO BOX 1030, HATTIESBURG, MS - 39403-1030 (mailing address contact number: 601-544-4641).

Location: 103 S 19Th Ave, Hattiesburg, MS, 39403-1030
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Provider Profile Details
NPI Number
1093722662
Provider Name
Sandra Kinnan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
103 S 19Th Ave, Hattiesburg, MS, 39403-1030
Phone Number
601-544-4641
Fax Number
601-584-4053
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04535271 05 MS
institution
Provider Business Practice Location Address Details
Address
103 S 19Th Ave
City
State
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-584-4053
person
Provider Business Mailing Address Details
Address
103 S 19Th Ave
City
State
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-584-4053
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R722863 (Mississippi)
Definition
Definition to come...
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