Individual provider · Type 1 NPI

Marie Antoinette Kennedy

Nurse Practitioner · Mishawaka, IN

NPI number 1851899140 Active

Practice location

611 E Douglas Rd Ste 208
Mishawaka, IN 46545-1465

Fax (574) 335-0738

Mailing address

707 Cedar St Ste 200
South Bend, IN 46617-2057

Other practice locations

  • 1668 S US Highway 421, Westville, IN 46391-9523 · (219) 785-8424
  • 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033 · (219) 878-8200

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X71007869A (IN)
Gerontology Nurse Practitioner 363LG0600X28143781A (IN)
Nurse Practitioner Primary 363L00000X71007869A (IN)

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…

7 other providers at this address

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About NPI 1851899140

Marie Antoinette Kennedy's National Provider Identifier is 1851899140, issued on Feb 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mishawaka, IN. The record was last updated on Jun 19, 2024.