Healthcare Provider Details

I. General information

NPI: 1689525032
Provider Name (Legal Business Name): JULIE ANDREA MCKINNEY MLS (ASCP)CM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 SUMMER STREET JULIE MCKINNEY HPB 204 MEDICAL LAB
CLARKSVILLE TN
37040-3086
US

IV. Provider business mailing address

681 SUMMER ST
CLARKSVILLE TN
37040-3086
US

V. Phone/Fax

Practice location:
  • Phone: 931-221-7335
  • Fax:
Mailing address:
  • Phone: 931-221-7335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number25433
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number25433
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: