Individual provider · Type 1 NPI

Kenneth Oliver Jerry, ARNP

Gerontology Nurse Practitioner · Orlando, FL

NPI number 1124744560 Active

Practice location

13800 Veterans Way
Orlando, FL 32827-7401

Mailing address

14927 Twinberry Dr
Orlando, FL 32828-7332

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X11022086 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124744560

Kenneth Oliver Jerry, ARNP's National Provider Identifier is 1124744560, issued on Oct 18, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orlando, FL. The record was last updated on Oct 18, 2022.