M JEANETTE KINMAN NPC NPI 1528242187

NPI Information

NPI: 1528242187
Provider Name: M JEANETTE KINMAN, NP,C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
415 MULBERRY ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 423-7791
Get Directions

M Jeanette Kinman, NP,C is a psychiatric/mental health nurse practitioner in Evansville, IN with 8 years of experience. M Jeanette Kinman, NP,C NPI is 1528242187. 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:

415 MULBERRY ST
EVANSVILLE, IN
ZIP 47713-230
Phone: (812) 423-7791
Fax: (812) 422-7558

The NPI 1528242187 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 12/19/2007 and was last updated on 10/9/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	28135612A	INDIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71005061A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000942055	OTHER	INDIANA	ANTHEM
2	200875910	MEDICAID	INDIANA
3	834950005	OTHER	INDIANA	MEDICARE
4	12758051	OTHER		CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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