Mckinney, Jessica

Mckinney, Jessica is an individual health care provider with primary practice located at 700 Kimber Lane , Evansville IN 47715-2803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mckinney, Jessica can be contacted via phone (812) 476-7111.

Contact Information

Primary practice address
700 Kimber Lane Evansville IN 47715-2803
Phone: (812) 476-7111
Fax: (812) 476-7117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2900 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10003348A Indiana

Profile Details

NPI number 1720754716
LBN Legal business name Mckinney, Jessica
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Nov 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720754716 NPPES
Indiana MEDICAID 300054019
Indiana MEDICAID 7100764600

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