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Individual

JESSICA KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-4259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-4259

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11040793
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11040793
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127604500
FL
Enumeration date
05/01/2025
Last updated
09/08/2025
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