KENNEDY ELLEN EIDENIRE

PORTLAND, TN
NPI1477354793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  38446)
Enumeration Date2025-03-22
Last Update Date2025-09-24
Business Address
Mrs. KENNEDY ELLEN EIDENIRE PMHNP
421 N BROADWAY
PORTLAND, TN 37148-1750
Phone number: 615-205-2100
Mailing Address
Mrs. KENNEDY ELLEN EIDENIRE PMHNP
410 COLLEGE ST
PORTLAND, TN 37148-2101
Phone number: 678-410-6310
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