Individual
JENNA KINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
237 WHITE ST STE 1, JACKSONVILLE, NC 28546-6351
(910) 577-4968
(910) 577-2916
Mailing address
1110 N KENTUCKY AVE, WINTER PARK, FL 32789-4741
(407) 539-2766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN180957
AZ
363LF0000X
Family Nurse Practitioner
5011585
NC
363LF0000X
Family Nurse Practitioner
AP11243
AZ
363LF0000X
Family Nurse Practitioner
Primary
APRN11011964
FL
Other
Enumeration date
01/23/2018
Last updated
01/18/2023
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