Provider Demographics
NPI:1942034665
Name:SAPP HAMRICK, KENDRA DANIELLE (APRN)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:DANIELLE
Last Name:SAPP HAMRICK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:DANIELLE
Other - Last Name:SAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1899 SW SUNDOWN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32331-3768
Mailing Address - Country:US
Mailing Address - Phone:386-209-0403
Mailing Address - Fax:
Practice Address - Street 1:1899 SW SUNDOWN CREEK RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-3768
Practice Address - Country:US
Practice Address - Phone:386-209-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNA363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner