KENNEDY ELLEN EIDENIRE

LEBANON, TN
NPI1477354793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  38446)
Enumeration Date2025-03-22
Last Update Date2025-11-21
Business Address
Mrs. KENNEDY ELLEN EIDENIRE PMHNP
365 S HARTMANN DR STE 104
LEBANON, TN 37087-4788
Phone number: 615-470-8124
Mailing Address
Mrs. KENNEDY ELLEN EIDENIRE PMHNP
365 S HARTMANN DR STE 104
LEBANON, TN 37087-4788
Phone number: 615-470-8124