Individual
WENDI JEAN KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-5470
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-5470
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9166964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014090900
—
FL
Enumeration date
10/09/2014
Last updated
01/13/2017
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