Individual provider · Type 1 NPI
Shannon Kelly Kennedy, FNP-C
Family Nurse Practitioner · Caddo Mills, TX
NPI number
1457080228
Active
Practice location
3667 County Road 2134 Ste C
Caddo Mills, TX 75135-6897
Fax (833) 973-3638
Other practice locations
- 2504 Ridge Rd Ste 203, Rockwall, TX 75087-2571 · (469) 887-5550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1088162 (TX) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Revive Family Care & Wellness LLCFamily Nurse Practitioner Caddo Mills, TX NPI 1447001003
- Courtney Patrick, NPFamily Nurse Practitioner Caddo Mills, TX NPI 1245152016
- Guiselle Berry, FNP-CFamily Nurse Practitioner Caddo Mills, TX NPI 1184362964
- Monica Booker, FNPNurse Practitioner Caddo Mills, TX NPI 1790581064
Other family nurse practitioner providers in Caddo Mills
- Guiselle Berry, FNP-CFamily Nurse Practitioner Caddo Mills, TX NPI 1184362964
- Courtney Patrick, NPFamily Nurse Practitioner Caddo Mills, TX NPI 1245152016
- Sharon L. Paine, NPFamily Nurse Practitioner Caddo Mills, TX NPI 1760653174
- Naomi Kay Kramer, FNP-CFamily Nurse Practitioner Caddo Mills, TX NPI 1891392866
About NPI 1457080228
Shannon Kelly Kennedy, FNP-C's National Provider Identifier is 1457080228, issued on Jun 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Caddo Mills, TX. The record was last updated on Sep 14, 2026.