Individual provider · Type 1 NPI

Jennifer Jean Kennedy, MSN, ACNPG-NP, BSN

Nurse Practitioner · Providence, RI

NPI number 1184381105 Active

Practice location

164 Summit Ave
Providence, RI 02906-2894

Mailing address

593 Eddy St
Providence, RI 02903-4923

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-4000
  • 20 Powel Ave, Newport, RI 02840 · (401) 846-6400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN02852 (RI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184381105

Jennifer Jean Kennedy, MSN, ACNPG-NP, BSN's National Provider Identifier is 1184381105, issued on Nov 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Nov 24, 2021.