Individual
ALICIA NICOLE KENDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
UPLIFTEDCARE, 482 MAIN ST. NW, BOURBONNAIS, IL 60914
(815) 939-4141
Mailing address
6310 WARREN ST, SAINT ANNE, IL 60964-5301
(708) 606-6764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020485
IL
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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