Individual
MS. JANE P MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3700 NW 83RD ST, GAINESVILLE, FL 32606-5603
(352) 371-7546
(352) 335-7546
Mailing address
PO BOX 357730, GAINESVILLE, FL 32635-7730
(352) 371-7546
(352) 335-7546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1427
RAILROAD MEDICARE GROUP#
FL
01
—
P00343361
RAILROAD MEDICARE PIN
FL
Enumeration date
07/21/2006
Last updated
10/22/2007
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