Gentina Victoria Kennedy
Nurse Practitioner - Adult Health
101 Century 21 Dr
Jacksonville
, Florida 32216-8115
Gentina Victoria Kennedy
Nurse Practitioner - Adult Health
101 Century 21 Dr
Jacksonville
, Florida 32216-8115
(904) 322-6036
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Gentina Victoria Kennedy
- 840 Sycamore Way
- Orange Park, FL
- Zip : 32073-1675
- Phone : (904) 322-6036
Second Address
- Gentina Victoria Kennedy
- 101 Century 21 Dr
- Jacksonville, FL
- Zip : 32216-8115
- Phone : (904) 374-0594
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 11005594 | FL |
National Provider Identifier
| NPI | 1013581750 |
|---|---|
| Provider Name | Gentina Victoria Kennedy |
| First Address | Orange Park, FL 32073-1675 |
| Second Address | Jacksonville, FL 32216-8115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2021 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.