Provider Demographics
NPI:1528320074
Name:MCKEON, CHRISTINA M (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:M
Last Name:MCKEON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 SE 3RD CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0457
Mailing Address - Country:US
Mailing Address - Phone:352-352-5770
Mailing Address - Fax:352-629-3145
Practice Address - Street 1:2820 SE 3RD CT
Practice Address - Street 2:SUITE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0457
Practice Address - Country:US
Practice Address - Phone:352-352-5770
Practice Address - Fax:352-629-3145
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3064072363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGN213ZMedicare PIN
FLGN2132Medicare PIN