# DANIELLE DARLENE KENNEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063118404
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2018004709 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2023006107 | MO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 22893 | AR | — |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 11/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2023006107 | MISSOURI APRN LICENSE | MO |
| 01 | — | 22893 | ARKANSAS APRN LICENSE | AR |
| 05 | — | 300244758 | — | AR |
| 05 | — | 420120610 | — | MO |