Individual provider · Type 1 NPI

Kennedy L. Eldridge, DNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN

NPI number 1750061875 Active

Practice location

109 W Watauga Ave
Johnson City, TN 37604-5621

Fax (423) 232-2646

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X34383 (TN)

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

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About NPI 1750061875

Kennedy L. Eldridge, DNP, PMHNP-BC's National Provider Identifier is 1750061875, issued on Jul 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Johnson City, TN. The record was last updated on Sep 12, 2023.