Individual provider · Type 1 NPI
Kenyatta Dacres
Family Nurse Practitioner · Jacksonville, FL
NPI number
1356922850
Active
Practice location
4510 Rainer Rd
Jacksonville, FL 32210-7058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11012249 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1356922850
Kenyatta Dacres's National Provider Identifier is 1356922850, issued on Apr 16, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 16, 2021.