Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA KENNEDY
ActiveMIRANDA KENNEDY is a Family Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1902266992 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ROCKFORD, IL
Registration Details
- NPI Number
- 1902266992
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2016 (10.444212089305 yrs)
- Last Updated
- Apr 9, 2019
- Licenses
-
041398969 (IL)209014174 (IL)
Practice Information
- Address
-
2222 E STATE ST STE 209ROCKFORD, IL, 611041572Browse IL providers · Browse ZIP 61104
- Phone
- 8159888500
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE A BRADY | F.N.P. | 1396735379 |
| PATRICIA J NORDMAN | N.P. | 1225028350 |
| MS. EVELEEN M ACKERMAN | F.N.P. | 1568444008 |
| ELIZABETH BLAIR | APN | 1689657660 |
| BETH A CHRISTIANSEN | APN | 1538199666 |
| MS. JANE L. STEFFEN | APRN | 1902837834 |
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.