Individual provider · Type 1 NPI

Melissa J. Kennedy

Psychiatric/Mental Health Nurse Practitioner · Mishawaka, IN

NPI number 1659294072 Active

Practice location

215 W 4th St
Mishawaka, IN 46544-1917

Mailing address

29913 Runkle St
Niles, MI 49120-6032

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X28215038A (IN)

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

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About NPI 1659294072

Melissa J. Kennedy's National Provider Identifier is 1659294072, issued on Aug 3, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mishawaka, IN. The record was last updated on Oct 8, 2026.