NPI Profile for JENNIFER KENNEDY in MIDWEST CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI Number | 1043021629 |
|
| Status | Active | |
| Credentials | APRN CPNP | |
| Entity | Individual | |
| Enumeration date | 01/14/2025 | |
| Last updated | 02/27/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER KENNEDY
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