Individual
KENNA CAROL PRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
5434 W TYSON AVE UNIT 1340, TAMPA, FL 33611-3687
(828) 351-6000
(828) 287-7436
Mailing address
112 SPARKS DR, FOREST CITY, NC 28043-9021
(828) 351-6000
(828) 287-7436
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11030913
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11030913
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11030913
FL
Other
Enumeration date
01/29/2024
Last updated
04/29/2026
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