Most Relevant Information
Provider Data
| NPI Number: | 1003060203 |
| Provider Name: | MARTHA JO MCKINNEY APN |
| Entity Type: | Individual |
| Taxonomy Code: | 364SP0809X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | S02218 |
Most Important Dates
| Enumeration Date: | 11/14/2008 |
| Last Updated: | 07/08/2010 |
Provider Practice Location
1100 N COLLEGE AVE
FAYETTEVILLE
AR
727031944
Practice Location Phone/Fax
| Phone: | 4794434301 |
| Fax: |
Provider Mailing Location
1100 N COLLEGE AVE
FAYETTEVILLE
AR
727031944
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |