Individual provider · Type 1 NPI

Desiree Elizabeth Kennedy, APRN, FNP-C

Nurse Practitioner · Melbourne, FL

NPI number 1902547045 Active

Practice location

1350 Hickory St Ste 101
Melbourne, FL 32901-3224

Call (321) 434-3644 Map

Fax (321) 434-3438

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11019009 (FL)

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 1902547045

Desiree Elizabeth Kennedy, APRN, FNP-C's National Provider Identifier is 1902547045, issued on Apr 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on Dec 2, 2022.