MS. SANDRA KINNAN N.P.
NPI 1093722662
Nurse Practitioner - Psychiatric/Mental Health in Hattiesburg, MS

Active since August 03, 2006
103 S 19TH AVE, HATTIESBURG, MS 39401(601) 544-4641(601) 584-4053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sandra Kinnan N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRA KINNAN N.P. (NPI 1093722662) is an individual psychiatric/mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (R722863) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093722662
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SANDRA KINNANCredential: N.P.
Location Address103 S 19TH AVEHattiesburg, MS 39401-6171
Mailing AddressPo Box 1030Hattiesburg, MS 39403-1030 · (601) 544-4641 · Fax (601) 584-4053
Fax(601) 584-4053
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093722662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · R722863
103 S 19TH AVE, Hattiesburg, MS 39401

Other Identifiers 2

Medicaid04535271MS
Medicare UPINP81761MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Kinnan's NPI number?

The NPI number for Sandra Kinnan is 1093722662. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Sandra Kinnan located?

Sandra Kinnan practices at 103 S 19th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 544-4641.

What is Sandra Kinnan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sandra Kinnan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.