Individual
TERKITA FORD KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
3805 43RD ST, MERIDIAN, MS 39305-3109
(601) 479-0531
Mailing address
3805 43RD ST, MERIDIAN, MS 39305-3109
(601) 479-0531
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
867399
MS
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
906385
MS
Other
Enumeration date
10/23/2023
Last updated
12/01/2023
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