MRS. MARY JANE MCKINNIE NP
NPI 1689774259
Nurse Practitioner - Adult Health in Lake Charles, LA

Q: What is Mary Mckinnie's NPI number?

The NPI number for Mary Mckinnie is 1689774259. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Mary Mckinnie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mckinnie was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2006

905 11TH ST, LAKE CHARLES, LA 70601(337) 433-7117(337) 433-7117 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Mary Jane Mckinnie Np NPPES

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

MRS. MARY JANE MCKINNIE NP (NPI 1689774259) is an individual adult health provider in Lake Charles, Louisiana, licensed in Louisiana (AP05000) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1689774259

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MARY JANE MCKINNIECredential: NP

Location Address905 11TH STLake Charles, LA 70601-6230

Mailing Address905 11th StLake Charles, LA 70601-6230 · (337) 433-7117 · Fax (337) 433-7117

Phone(337) 433-7117

Fax(337) 433-7117

Sole ProprietorYes

Enumeration DateSeptember 24, 2006

Last NPPES UpdateNovember 13, 2008

✔ NPI 1689774259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in LA · AP05000

905 11TH ST, Lake Charles, LA 70601

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Other Identifiers 1

Medicaid1409171LA

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 Mary Mckinnie's NPI number?

The NPI number for Mary Mckinnie is 1689774259. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Mary Mckinnie located?

Mary Mckinnie practices at 905 11th St, Lake Charles, LA 70601. The listed phone number is (337) 433-7117.

What is Mary Mckinnie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Mckinnie was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.