Provider Demographics
NPI:1841918752
Name:KEENE, CHRISTINA DARLEENE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DARLEENE
Last Name:KEENE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 WILMONT AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-5130
Mailing Address - Country:US
Mailing Address - Phone:386-212-6145
Mailing Address - Fax:
Practice Address - Street 1:2315 WILMONT AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-5130
Practice Address - Country:US
Practice Address - Phone:386-212-6145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9199533163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse