Individual provider · Type 1 NPI

Kendra Ta Rae Divens, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Hickory, NC

NPI number 1053293662 Active

Practice location

327 1st Ave NW
Hickory, NC 28601-6122

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5022917 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053293662

Kendra Ta Rae Divens, PMHNP-BC's National Provider Identifier is 1053293662, issued on Jul 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hickory, NC. The record was last updated on Mar 11, 2026.