Individual
JAMIE LEE KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4321 N MACDILL AVE STE 205, TAMPA, FL 33607-6390
(813) 961-7440
(813) 962-0951
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2029492
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP2029492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000027800
—
FL
Enumeration date
07/15/2008
Last updated
01/24/2024
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