Individual
MARY PAGE H MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
803 NORTH ST E, TALLADEGA, AL 35160-2529
(256) 315-2252
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-095841
AL
363L00000X
Nurse Practitioner
3020
SC
Other
Enumeration date
11/09/2006
Last updated
01/02/2019
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