Individual
JAMIE KANEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 4TH AVE N, JACKSONVILLE BEACH, FL 32250-5621
(904) 260-2565
Mailing address
333 4TH AVE N, JACKSONVILLE BEACH, FL 32250-5621
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11001630
FL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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