Individual provider · Type 1 NPI

Traci Kennedy, NP

Nurse Practitioner · Charleston, SC

NPI number 1306206990 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-3208

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

1300 Hospital Dr Ste 220, Mount Pleasant, SC 29464-3208 · (843) 936-6238

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse	163WE0003X	28091733A (IN)
Nurse Practitioner	363L00000X	71006563A (IN)
Nurse Practitioner Primary	363L00000X	21498 (SC)

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 1306206990

Traci Kennedy, NP's National Provider Identifier is 1306206990, issued on Feb 25, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Oct 31, 2023.