Provider Demographics
NPI:1124896832
Name:SATTERWHITE, KAMRYN MAREE
Entity type:Individual
Prefix:
First Name:KAMRYN
Middle Name:MAREE
Last Name:SATTERWHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 LENCZYK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2655
Mailing Address - Country:US
Mailing Address - Phone:904-485-7521
Mailing Address - Fax:
Practice Address - Street 1:6816 LENCZYK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2655
Practice Address - Country:US
Practice Address - Phone:904-485-7521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula