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Individual

BRENDA JOYCE MCKINSTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN CPMHNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP08313
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.08313
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2580256
OH
Enumeration date
06/04/2006
Last updated
04/20/2021
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