Individual
MRS. KIMBERLEY LASHAWN WOODARD-HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9814 KEVIN RD, JACKSONVILLE, FL 32257-2443
(904) 676-2266
Mailing address
9814 KEVIN RD, JACKSONVILLE, FL 32257-2443
(904) 676-2266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95347880
CA
163W00000X
Registered Nurse
RN9617810
FL
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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