Individual
KENDRA SIMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 W MAIN ST, LIVINGSTON, TN 38570-1721
(931) 219-2091
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(256) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25552
TN
363LF0000X
Family Nurse Practitioner
Primary
25552
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q048358
—
TN
Enumeration date
04/15/2019
Last updated
03/07/2024
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