# JESSIE ABIGAIL KENDALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548972649
- **Gender:** F
- **Credential:** RN, MSN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 10030592 | OR | — |
| 163W00000X | Registered Nurse | 266142 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10030592 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 34847 | TN | Yes |

## Other

- **Enumeration date:** 12/20/2022
- **Last updated:** 09/08/2024