DR. LYNNETTE HANSEN KENNISON PMHCNS-BC NPI 1053510149

NPI Information

DR. Lynnette Hansen Kennison, PMHCNS-BC is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 21 years of experience. DR. Lynnette Hansen Kennison, PMHCNS-BC NPI is 1053510149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9550 REGENCY SQUARE BLVD
SUITE 903
JACKSONVILLE, FL
ZIP 32225-116
Phone: (904) 725-6463
Fax: (904) 329-2349

The NPI 1053510149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 1/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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