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NPI Code Detail

MEDICARE: KENDRA DENISE BRINKLEY RN

MEDICARE: KENDRA DENISE BRINKLEY RN
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
1163W00000XRegistered NurseRN9460909FL

General Provider Information

NPI Number : 1518823459
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA DENISE BRINKLEY RN
Provider Business Mailing Address
First Line : 10949 ACORN PARK DR E
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-6991
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10949 ACORN PARK DR E
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-6991
Country : US
Telephone Number : 904-684-9936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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