Individual
YANEQUE WILSON-KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8251 W BROWARD BLVD, PLANTATION, FL 33324-2703
(954) 715-1041
Mailing address
3379 NW 17TH ST, LAUDERHILL, FL 33311-4227
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11034612
FL
364SA2200X
Adult Health Clinical Nurse Specialist
11034612
FL
Other
Enumeration date
08/08/2024
Last updated
11/15/2024
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