Individual
SARA MICHAEL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-5955
(601) 200-5939
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5955
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
923661
MS
363LF0000X
Family Nurse Practitioner
Primary
907788
MS
Other
Enumeration date
01/15/2024
Last updated
04/28/2026
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