Search › Florida › 133NN1002X
Kenya Bonner, BCHHP FNP
NPI 1619789484 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6050 Moncrief Rd Ste 8
Jacksonville, FL 32209 - Phone
- (904) 631-4801
- Organisation at this address
- Superior Support Healthcare Agency Inc.
Xiii Moons Apothecary & Functional Wellness CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 133NN1002X
133NN1002X
- Also registered as
- 175L00000X
374K00000X
174H00000X
171400000X
175F00000X
374J00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida