Provider Demographics
NPI:1104348523
Name:SKINNER, HELEN MACHELLE (DNP, AGPCNP-BC)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MACHELLE
Last Name:SKINNER
Suffix:
Gender:F
Credentials:DNP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-1535
Mailing Address - Country:US
Mailing Address - Phone:816-390-5701
Mailing Address - Fax:
Practice Address - Street 1:803 US HWY 71
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:MO
Practice Address - Zip Code:64485
Practice Address - Country:US
Practice Address - Phone:816-324-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017021984363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care