Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tina Marie McKennon, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1992163422

Mrs. Tina Marie McKennon, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2013, 13 years ago. Practices with Clinical Healthcare Associates of New Jersey Specialty Practices PC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

51 N 39th Street Cupp Bldg 1ST Fl
Philadelphia, PA 19104-2640
Phone: (215) 662-9801
Fax: (215) 243-3249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1865 Route 70 East, Cherry Hill, NJ 08003-2013 — (856) 429-1519

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP015746 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence A0915003 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ01153900 (NJ)

Record details

NPI number1992163422
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJune 29, 2022
Certification dateJune 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Clinical Healthcare Associates Of New Jersey Specialty Practices Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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