Provider Demographics
NPI:1831803956
Name:KENDRICK, JENNIFER (ARNP, FNP-BC, DNP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:ARNP, FNP-BC, DNP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ANNE
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7406 FULLERTON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3588
Mailing Address - Country:US
Mailing Address - Phone:904-802-6800
Mailing Address - Fax:
Practice Address - Street 1:7406 FULLERTON ST STE 105
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-3588
Practice Address - Country:US
Practice Address - Phone:904-802-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023832363LF0000X
FL11023832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily