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Individual

MRS. KENYA AYESHA THAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
908 S PARSONS AVE, BRANDON, FL 33511-6045
(850) 727-3376
Mailing address
8121 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6681

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11039796
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11039796
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11039796
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11039796
FL

Other

Enumeration date
05/19/2025
Last updated
05/28/2025
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