Provider Demographics
NPI:1932963386
Name:PATEL, MCKINSEA DAWN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MCKINSEA
Middle Name:DAWN
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-7972
Mailing Address - Country:US
Mailing Address - Phone:870-656-0219
Mailing Address - Fax:
Practice Address - Street 1:2804 E RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4776
Practice Address - Country:US
Practice Address - Phone:501-254-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR120197363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner