Lynnette D Hansen Kennison PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP1117892 Issued in FL

Legal business name

LYNNETTE D HANSEN KENNISON PA

Practice address

6817 Southpoint Pkwy Ste 304
Jacksonville, FL 32216-6287

Phone

(904) 296-3113

Fax

(904) 296-3144

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynette Hansen Kennison, PH D ARPN

Title

Owner

Phone

(904) 296-3113

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1699945576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12484 MASTERS RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255758",
            "telephone_number": "904-982-7060",
            "fax_number": "904-269-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166287",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNETTE D HANSEN KENNISON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "HANSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-296-3113",
        "authorized_official_credential": "PH D ARPN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1117892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Lynch
• William James Lynch, M.D.
• Lynda S. Walls, PH.D., Inc.
• Crystal Lynn, CRNA
• Joshua L Lynn, PHARMD
• Timothy David Lyon, M.D.
• Virginia Lyon
• Erin Smith Lyons, PTA
• Farris Salmo Lyons, R.PH.
• Heather Lyons

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.