# MARY TERESA SKINNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033358072
- **Gender:** F
- **Credential:** ARNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005720 | KY | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 5720P | KY | — |
| 363LG0600X | Gerontology Nurse Practitioner | 5720P | KY | — |

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 09/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00706702 | RAILROAD MEDICARE | KY |