Individual
TERESA D KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5699 GETWELL RD, SOUTHAVEN, MS 38672-7312
(662) 649-6502
(662) 495-4079
Mailing address
PO BOX 588, NESBIT, MS 38651-0588
(662) 649-6502
(662) 228-7893
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R803535
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
803535
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600734
—
MS
Enumeration date
08/09/2012
Last updated
02/12/2026
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