Individual provider · Type 1 NPI

Shannon Rene' Kennedy, FNP-C

Family Nurse Practitioner · Midland, TX

NPI number 1700474541 Active

Practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105

Other practice locations

  • 2509 W Shandon Ave, Midland, TX 79705-6340 · (432) 413-2023

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X722924 (TX)
Hospitalist Physician 208M00000X1014885 (TX)
Family Nurse Practitioner Primary 363LF0000X1014885 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1700474541

Shannon Rene' Kennedy, FNP-C's National Provider Identifier is 1700474541, issued on Jan 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midland, TX. The record was last updated on Apr 29, 2021.