Kendrick, Teresa D

Kendrick, Teresa D is an sole proprietor health care provider with primary practice located at 5699 Getwell Rd, Suite 5 Building F, Southaven MS 38672-7312. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kendrick, Teresa D can be contacted via phone (662) 649-6502.

Contact Information

Primary practice address
5699 Getwell Rd, Suite 5 Building F Southaven MS 38672-7312
Phone: (662) 649-6502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R803535 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 803535 Mississippi

Profile Details

NPI number 1437406485
LBN Legal business name Kendrick, Teresa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2012
Last updated Jul 8th, 2021 - about 3 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 1437406485 NPPES
Mississippi MEDICAID 00600734

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