Provider Demographics
NPI:1659442010
Name:SKINNER, SEAN K (MSN, FNP)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:K
Last Name:SKINNER
Suffix:
Gender:M
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4614 LAKE HURON DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5216
Mailing Address - Country:US
Mailing Address - Phone:361-444-5280
Mailing Address - Fax:
Practice Address - Street 1:THE DOCTORS CENTER URGENT CARE
Practice Address - Street 2:5536 SARTOGA BLVD
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-0001
Practice Address - Country:US
Practice Address - Phone:361-992-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131517363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily