| Jennifer Kennedy, APRN CPNP | |
|
1800 S Douglas Blvd, Midwest City, OK 73130-6224 | |
| (405) 741-7722 | |
| Not Available |
| Full Name | Jennifer Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1800 S Douglas Blvd, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043021629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | R0131654 (Oklahoma) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 221867 (Oklahoma) | Primary |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kennedy, APRN CPNP 1800 S Douglas Blvd, Midwest City, OK 73130-6224 Ph: () - | Jennifer Kennedy, APRN CPNP 1800 S Douglas Blvd, Midwest City, OK 73130-6224 Ph: (405) 741-7722 |
Dr. Karen Daniels Rackley, DNP, APRN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Mrs. Venetta Ann Girardi, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-733-4985 | |
Mrs. Heather D Stanley, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 S Douglas Blvd, Ste 108, Midwest City, OK 73130 Phone: 405-737-3278 Fax: 405-737-0240 | |
Calli Beth Ann Landes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-8993 Fax: 405-610-8127 | |
Ms. Kandy Brown, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9230 E Reno Ave Ste B, Midwest City, OK 73130 Phone: 405-737-4900 Fax: 405-737-3606 | |
Mrs. Robin N Avery, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-732-7119 Fax: 405-732-7120 | |
Ms. Porsha Lynn Richardson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1117 S Douglas Blvd Ste B, Midwest City, OK 73130 Phone: 405-208-4573 Fax: 405-429-4083 |