LYNNETTE D HANSEN KENNISON PA NPI 1699945576

NPI Information

NPI: 1699945576
Provider Name: LYNNETTE D HANSEN KENNISON PA
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-3113
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LYNNETTE D HANSEN KENNISON PA is a psychiatric/mental health nurse practitioner in Jacksonville, FL. LYNNETTE D HANSEN KENNISON PA NPI is 1699945576. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL
ZIP 32216-287
Phone: (904) 296-3113
Fax: (904) 296-3144

The provider's authorized official is Lynette Hansen Kennison .
The authorized official title is Owner and has the following contact phone number (904) 296-3113.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP1117892	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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