Provider Demographics
NPI:1134872203
Name:MCGINNIS, ABIGAIL JOHNSTON (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JOHNSTON
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6555 KEE LN STE 200
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7463
Practice Address - Country:US
Practice Address - Phone:980-302-9840
Practice Address - Fax:980-302-9841
Is Sole Proprietor?:No
Enumeration Date:2022-01-30
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMCGI-A1M2J363L00000X
NC5015720363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner