Individual provider · Type 1 NPI
Amanda Dawn Kennedy, DNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1396460010
Active
Practice location
4364 Western Center Blvd # 2221
Fort Worth, TX 76137-2043
Fax (817) 393-2590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 946888 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1095930 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1396460010
Amanda Dawn Kennedy, DNP, PMHNP's National Provider Identifier is 1396460010, issued on Oct 5, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 5, 2022.