Individual provider · Type 1 NPI

Sophonie M. Kernizan, RN

Psychiatric/Mental Health Nurse Practitioner · Southbridge, MA

NPI number 1528974698 Active

Practice location

29 Pine St
Southbridge, MA 01550-1823

Fax (508) 764-2462

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN10002058 (MA)
Psychiatric/Mental Health Registered Nurse 163WP0808XRN10002058 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1528974698

Sophonie M. Kernizan, RN's National Provider Identifier is 1528974698, issued on Aug 20, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southbridge, MA. The record was last updated on Oct 9, 2026.