Individual provider · Type 1 NPI
Jessica Kenneson, RN
Pediatric Registered Nurse · Wylie, TX
NPI number
1407415805
Active
Practice location
3603 Barberry Dr
Wylie, TX 75098-8557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 968529 (TX) |
Pediatric Registered Nurse: Definition to come...
About NPI 1407415805
Jessica Kenneson, RN's National Provider Identifier is 1407415805, issued on Jun 10, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Wylie, TX. The record was last updated on Jun 10, 2019.