Jarrell, Kendra Christine

Jarrell, Kendra Christine is an individual health care provider with primary practice located at 1049 Main St , Springfield MA 01103-2114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jarrell, Kendra Christine can be contacted via phone (413) 739-1100.

Contact Information

Primary practice address
1049 Main St Springfield MA 01103-2114
Phone: (413) 739-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-08619 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2363356 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2363556 Massachusetts

Profile Details

NPI number 1174566681
LBN Legal business name Jarrell, Kendra Christine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174566681 NPPES
Ohio MEDICAID 3138107

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