Provider Demographics
NPI:1013213388
Name:MCKINNEY-LLOYD, JANE A
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:MCKINNEY-LLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8777 PURDUE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3125
Mailing Address - Country:US
Mailing Address - Phone:317-437-8761
Mailing Address - Fax:317-755-4012
Practice Address - Street 1:8777 PURDUE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3125
Practice Address - Country:US
Practice Address - Phone:317-437-8761
Practice Address - Fax:317-755-4012
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27052318A164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse