Individual provider · Type 1 NPI

Tanya F. Kennedy, FNP

Nurse Practitioner · Farmington, MO

NPI number 1801345574 Active

Practice location

1106 Hazel Ln
Farmington, MO 63640-1999

Fax (573) 756-6807

Mailing address

PO Box 957683
St. Louis, MO 63195-7683

Other practice locations

  • 617 Laplante Dr, Desloge, MO 63601-3076 · (573) 366-6149

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2016032673 (MO)
Family Nurse Practitioner 363LF0000X2016032673 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801345574

Tanya F. Kennedy, FNP's National Provider Identifier is 1801345574, issued on Sep 23, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Sep 26, 2025.