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Mrs. Mary Jane Mckinnie, NP
Adult Health Nurse Practitioner in Lake Charles, Louisiana
NPI 1689774259

Mary Jane Mckinnie is an Adult Health Nurse Practitioner based in Lake Charles, LA and is specialized in Adult Health. Mary Jane Mckinnie practices in Lake Charles, LA and has the professional credentials of NP. The NPI Number for Mary Jane Mckinnie is 1689774259 and holds a License No. AP05000 (Louisiana).

The current practice location address for Mary Jane Mckinnie is 905 11Th St, Lake Charles, LA and can be reached out via phone at 337-433-7117 and via fax at 337-433-7117. You can also correspond with Mary Jane Mckinnie through the mailing address at 905 11TH ST, LAKE CHARLES, LA - 70601-6230 (mailing address contact number: 337-433-7117).

Location: 905 11Th St, Lake Charles, LA, 70601-6230
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Provider Profile Details
NPI Number
1689774259
Provider Name
Mary Jane Mckinnie
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
905 11Th St, Lake Charles, LA, 70601-6230
Phone Number
337-433-7117
Fax Number
337-433-7117
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1409171 05 LA
institution
Provider Business Practice Location Address Details
Address
905 11Th St
City
State
Zip
70601-6230
Phone Number
337-433-7117
Fax Number
337-433-7117
person
Provider Business Mailing Address Details
Address
905 11Th St
City
State
Zip
70601-6230
Phone Number
337-433-7117
Fax Number
337-433-7117
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP05000 (Louisiana)
Definition
Definition to come...
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