Provider Demographics
NPI:1942617675
Name:KINSEY, ANDREA (MSN RN APRN FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:KINSEY
Suffix:
Gender:F
Credentials:MSN RN APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 COUNTY ROAD 370
Mailing Address - Street 2:
Mailing Address - City:NEW BLOOMFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65063
Mailing Address - Country:US
Mailing Address - Phone:573-680-5055
Mailing Address - Fax:
Practice Address - Street 1:100 SAINT MARYS MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-1602
Practice Address - Country:US
Practice Address - Phone:573-761-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014023489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily