Individual provider · Type 1 NPI

Jean M. Kanidis, APRN

Family Nurse Practitioner · Lakeland, FL

NPI number 1639353410 Active

Practice location

2300 E County Road 540A
Lakeland, FL 33813-3825

Fax (866) 264-8519

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN9307005 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1639353410

Jean M. Kanidis, APRN's National Provider Identifier is 1639353410, issued on Dec 28, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakeland, FL. The record was last updated on Aug 1, 2023.