Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER KENNEDY, APRN CPNP
ActivePediatric Nurse Practitioner · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1043021629
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2025 (1.2666965217909 yrs)
- Last Updated
- Feb 27, 2025
- Licenses
-
R0131654 (OK)221867 (OK)
Practice Information
- Address
-
1800 S DOUGLAS BLVDMIDWEST CITY, OK, 731306224Browse OK providers · Browse ZIP 73130
- Phone
- 4057417722
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.