Individual
KNETRA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
Mailing address
231 DEVOE ST, JACKSONVILLE, FL 32220-2085
(904) 476-6016
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9272743
FL
Other
Enumeration date
12/01/2015
Last updated
07/21/2023
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