Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 69313 | OK |
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN11008501 | FL |
NPI | 1083073365 |
---|---|
Provider Name | Kendra Seccombe |
First Address | Jacksonville, FL 32204-2410 |
Second Address | Jacksonville, FL 32204-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2016 |
Last Update Date | 21/05/2021 |