Individual
BRENDA JOYCE MCKINSTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CPMHNP
Contact information
Practice address
1680 NAVE RD SE, MASSILLON, OH 44646
(330) 830-8410
(330) 830-0912
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
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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