TRACI JOY MCKINNON FNP-C NPI 1356969067

NPI Information

Traci Joy Mckinnon, FNP-C is a family nurse practitioner in Portsmouth, VA. Traci Joy Mckinnon, FNP-C NPI is 1356969067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708-111
Phone: (402) 250-8845

The NPI 1356969067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 7/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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