Individual
MRS. JIN AMY KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(904) 263-6908
Mailing address
164 TURKEY CRK, ALACHUA, FL 32615-9572
(904) 263-6908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9487752
FL
363L00000X
Nurse Practitioner
Primary
APRN11034792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123751300
—
FL
Enumeration date
07/19/2024
Last updated
10/02/2024
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