Individual provider · Type 1 NPI
Kennisha Brooke Miranda, APRN
Family Nurse Practitioner · Gainesville, FL
NPI number
1083584775
Active
Practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
1926 SW 42nd Ave
Gainesville, FL 32608-4087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11043507 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083584775
Kennisha Brooke Miranda, APRN's National Provider Identifier is 1083584775, issued on Nov 7, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, FL. The record was last updated on Jan 6, 2026.