KENDRA JO BACK

NORTH VENICE, FL
NPI1437408093
Former NameKENDRA JO EDWARDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9212674)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0991706-NP)
Enumeration Date2012-08-29
Last Update Date2021-01-13
Business Address
KENDRA JO BACK ARNP
2446 LAUREL RD E
NORTH VENICE, FL 34275-3204
Phone number: 941-218-6200
Mailing Address
KENDRA JO BACK ARNP
2446 LAUREL RD E
NORTH VENICE, FL 34275-3204
Phone number: 941-218-6200