Individual
KNEQUISHA LATONYA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
330 SW 27TH AVE, FORT LAUDERDALE, FL 33312-2051
(954) 497-3856
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11017972
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
11017972
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017972
FL
Other
Enumeration date
02/17/2022
Last updated
06/17/2025
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