Individual
KENYA BLAKE CODRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R193409
MD
363LN0000X
Neonatal Nurse Practitioner
Primary
R193409
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R193409
MD
Other
Enumeration date
06/07/2019
Last updated
04/10/2026
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