Individual provider · Type 1 NPI
Keni O. Jegede, FNP-BC
Family Nurse Practitioner · San Diego, CA
NPI number
1992153860
Active
Practice location
1802 Saturn Blvd
San Diego, CA 92154-4101
Mailing address
21135 S Meadowview Ln
Shorewood, IL 60404-8368
Other practice locations
- 12612 Challenger Pkwy Ste 365, Orlando, FL 32826-2784 · (407) 306-8441
- 21135 S Meadowview Ln, Shorewood, IL 60404-8368 · (630) 337-8674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209014177 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992153860
Keni O. Jegede, FNP-BC's National Provider Identifier is 1992153860, issued on Jun 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Mar 10, 2022.