Mrs. Brandace Michele Kenworthy
Nurse Practitioner - Family Medicine
1600 Sw Archer Rd
Gainesville
, Florida 32610-3003
Mrs. Brandace Michele Kenworthy
Nurse Practitioner - Family Medicine
1600 Sw Archer Rd
Gainesville
, Florida 32610-3003
(352) 265-0111
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Brandace Michele Kenworthy
- Mcknight Brain Institute Room L3 100 1149 Newell Drive
- Gainesville, FL
- Zip : 32611-0001
- Phone : (352) 265-0111
Second Address
- Mrs. Brandace Michele Kenworthy
- 1600 Sw Archer Rd
- Gainesville, FL
- Zip : 32610-3003
- Phone : (352) 265-0111
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Is Mrs. Brandace Michele Kenworthy a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 9217358 | FL |
National Provider Identifier
| NPI | 1003272311 |
|---|---|
| Provider Name | Mrs. Brandace Michele Kenworthy |
| First Address | Gainesville, FL 32611-0001 |
| Second Address | Gainesville, FL 32610-3003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2016 |
| Last Update Date | 21/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 017203300 | (05) | FL |
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.