Provider Demographics
NPI:1972897494
Name:KINSEY, JENNIFER E (RN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:KINSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 FLAMINGO AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-5122
Mailing Address - Country:US
Mailing Address - Phone:772-589-0029
Mailing Address - Fax:
Practice Address - Street 1:926 FLAMINGO AVE
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-5122
Practice Address - Country:US
Practice Address - Phone:772-589-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9175336163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse