Individual
DR. LYNNETTE HANSEN KENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
9889 GATE PKWY N STE 305, JACKSONVILLE, FL 32246-9230
(904) 725-6463
(904) 329-2349
Mailing address
9889 GATE PKWY N STE 305, JACKSONVILLE, FL 32246-9230
(904) 725-6463
(904) 329-2349
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1117892
FL
Other
Enumeration date
07/17/2007
Last updated
10/19/2023
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