LYNNETTE D HANSEN KENNISON PA
NPI 1699945576
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since March 06, 2008
6817 SOUTHPOINT PKWY STE 304, JACKSONVILLE, FL 32216(904) 296-3113(904) 296-3144 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lynnette D Hansen Kennison Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNNETTE D HANSEN KENNISON PA (NPI 1699945576) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since March 2008. The organization lists Lynette Hansen Kennison, Owner, as its authorized official.

NPPES Registry Identity

NPI1699945576
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLYNNETTE D HANSEN KENNISON PA
Location Address6817 SOUTHPOINT PKWY STE 304Jacksonville, FL 32216-6287
Mailing Address12484 Masters Ridge DrJacksonville, FL 32225-5758 · (904) 982-7060 · Fax (904) 269-3144
Fax(904) 296-3144
Organization SubpartNo
Authorized OfficialLynette Hansen KennisonOwner · (904) 296-3113
Enumeration DateMarch 6, 2008
NPI 1699945576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · ARNP1117892
6817 SOUTHPOINT PKWY STE 304, Jacksonville, FL 32216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL 32216
Clinic/Center (Adult Mental Health)
6817 SOUTHPOINT PKWY STE 304
JACKSONVILLE, FL 32216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynnette D Hansen Kennison PA's NPI number?

The NPI number for Lynnette D Hansen Kennison PA is 1699945576. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Lynnette D Hansen Kennison PA located?

Lynnette D Hansen Kennison PA is located at 6817 Southpoint Pkwy Ste 304, Jacksonville, FL 32216. The listed phone number is (904) 296-3113.

What is Lynnette D Hansen Kennison PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lynnette D Hansen Kennison PA was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.