Individual
KENDRA TA RAE DIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
327 1ST AVE NW, HICKORY, NC 28601-6122
(828) 695-5900
Mailing address
327 1ST AVE NW, HICKORY, NC 28601-6122
(828) 695-5900
(828) 695-4256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022917
NC
Other
Enumeration date
07/23/2025
Last updated
03/11/2026
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