Wynn, Keesha

Wynn, Keesha is an sole proprietor health care provider with primary practice located at 2795 Firethorn Ave Fl 32073 , Orange Park FL 32073-1699. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Nursing Service Providers / Lactation Consultant. Nursing Service Related Providers / Doula is her primary health care specialty. Wynn, Keesha can be contacted via phone (772) 713-1880.

Contact Information

Primary practice address
2795 Firethorn Ave Fl 32073 Orange Park FL 32073-1699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X Florida
Nursing Service Providers / Lactation Consultant 163WL0100X RN9169385 Florida

Profile Details

NPI number 1033997572
LBN Legal business name Wynn, Keesha
Credentials Clinical Dietitian (CD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2023
Last updated Oct 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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