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NPI Code Detail

MEDICARE: MRS. JENNIFER ANGELL MCKEE MS

MEDICARE:  MRS. JENNIFER ANGELL MCKEE  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1104229939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ANGELL MCKEE MS
Provider Business Mailing Address
First Line : 3319 RIDGEVIEW DR
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-7058
Country : US
Telephone Number : 281-725-2020
Fax Number :
Provider Business Practice Location Address
First Line : 3319 RIDGEVIEW DR
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-7058
Country : US
Telephone Number : 281-725-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 10/07/2014

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Directions to “ MRS. JENNIFER ANGELL MCKEE MS” Practice Location

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