Individual
DR. KENDRA J TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN,DNP
Contact information
Practice address
4732 POLARIS ST, JACKSONVILLE, FL 32205-5008
(904) 381-0512
(904) 381-0878
Mailing address
4732 POLARIS ST, JACKSONVILLE, FL 32205-5008
(904) 381-0512
(904) 381-0878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9239299
FL
174H00000X
Health Educator
RN9239299
FL
Other
Enumeration date
07/09/2013
Last updated
05/11/2020
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