Individual
JENNIFER KEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 ENREDE LN, SAINT AUGUSTINE, FL 32095-7440
(717) 424-1456
Mailing address
606 ENREDE LN, SAINT AUGUSTINE, FL 32095-7440
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-309490
FL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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