Individual
KENDRA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2250 THORNTON TAYLOR PKWY STE C, FAYETTEVILLE, TN 37334-3651
(256) 417-2863
Mailing address
151 VOEKEL RD, HUNTSVILLE, AL 35811-9159
(256) 945-1896
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
38148
TN
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
01
—
000000000
N/A
—
Enumeration date
02/20/2020
Last updated
04/16/2025
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