Individual
MRS. BILLIE JO KENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
215 HAWKS RD, SUITE 6, MARTIN, TN 38237-2708
(731) 587-3454
(731) 587-3460
Mailing address
215 HAWKS RD, SUITE 6, MARTIN, TN 38237-2708
(731) 587-3454
(731) 587-3460
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000005195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341684
—
TN
Enumeration date
04/28/2006
Last updated
03/23/2015
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