Individual
KENDRA SKYLER GAMBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
306 S 16TH ST, LA FOLLETTE, TN 37766-2780
(606) 682-7373
Mailing address
306 S 16TH ST, LA FOLLETTE, TN 37766-2780
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
251979
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
39525
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4045291
KY
Other
Enumeration date
02/04/2025
Last updated
09/24/2025
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