Provider Demographics
NPI:1518068519
Name:MCKINNEY, LORI A (RN, APN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300B PRINCETON HIGHTSTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1400
Mailing Address - Country:US
Mailing Address - Phone:609-680-0759
Mailing Address - Fax:
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-680-0759
Practice Address - Fax:732-647-1133
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN106634363L00000X
PASP006890H363LG0600X
NJ26NN10663400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049667Medicare ID - Type Unspecified
P36259Medicare UPIN