Provider Demographics
NPI:1427282060
Name:MCKINNEY, CHRISTY DAWN (FNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:DAWN
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 POPPS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2118
Mailing Address - Country:US
Mailing Address - Phone:228-865-3200
Mailing Address - Fax:228-575-1660
Practice Address - Street 1:1756 POPPS FERRY RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2118
Practice Address - Country:US
Practice Address - Phone:228-865-3200
Practice Address - Fax:228-575-1660
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR864587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily