Provider Demographics
NPI:1447350285
Name:MCKINNEY, LINDA J (FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:1440 ST HWY 248 -J
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616
Mailing Address - Country:US
Mailing Address - Phone:417-239-0706
Mailing Address - Fax:417-546-0768
Practice Address - Street 1:256 STATE HIGHWAY Y
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MO
Practice Address - Zip Code:65653-5618
Practice Address - Country:US
Practice Address - Phone:417-546-4200
Practice Address - Fax:417-546-4505
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO088946363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO423109875Medicaid
1667OtherCOX HEALTH SYSTEMS
144172OtherBCBS
080110697OtherRAILROAD MEDICARE
110772OtherHEALTHLINK