Provider Demographics
NPI:1104229939
Name:MCKEE, JENNIFER ANGELL (MS)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANGELL
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-7058
Mailing Address - Country:US
Mailing Address - Phone:281-725-2020
Mailing Address - Fax:
Practice Address - Street 1:3319 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-7058
Practice Address - Country:US
Practice Address - Phone:281-725-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist