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KENI O. JEGEDE FNP-BC
NPI 1992153860
Nurse Practitioner - Family in San Diego, CA

Active since June 01, 2016
1802 SATURN BLVD, SAN DIEGO, CA 92154(619) 628-2924 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keni O. Jegede Fnp-bc NPPES

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

KENI O. JEGEDE FNP-BC (NPI 1992153860) is an individual family provider in San Diego, California, licensed in Illinois (209014177) and active in the NPI registry since June 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992153860
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENI O. JEGEDECredential: FNP-BC
Location Address1802 SATURN BLVDSan Diego, CA 92154-4101
Mailing Address21135 S Meadowview LnShorewood, IL 60404-8368
Phone(619) 628-2924
Sole ProprietorNo
Enumeration DateJune 1, 2016
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1992153860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014177
1802 SATURN BLVD, San Diego, CA 92154
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Secondary Practice Locations 2

Location 121135 S Meadowview LnShorewood, IL 60404-8368 · Phone (630) 337-8674
Location 212612 Challenger Pkwy Ste 365Orlando, FL 32826-2784 · Phone (407) 306-8441

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 Keni Jegede's NPI number?

The NPI number for Keni Jegede is 1992153860. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Keni Jegede located?

Keni Jegede practices at 1802 Saturn Blvd, San Diego, CA 92154. The listed phone number is (619) 628-2924.

What is Keni Jegede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keni Jegede was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.