Individual
MS. KENDRA JOANNA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6306
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
881845
TX
363LA2200X
Adult Health Nurse Practitioner
1202820
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1202820
TX
Other
Enumeration date
01/17/2025
Last updated
07/16/2025
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