| Mrs Kennedy Ellen Eidenire, PMHNP | |
|
421 N Broadway, Portland, TN 37148-1750 | |
| (615) 205-2100 | |
| Not Available |
| Full Name | Mrs Kennedy Ellen Eidenire |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 421 N Broadway, Portland, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477354793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 38446 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kennedy Ellen Eidenire, PMHNP 410 College St, Portland, TN 37148-2101 Ph: (678) 410-6310 | Mrs Kennedy Ellen Eidenire, PMHNP 421 N Broadway, Portland, TN 37148-1750 Ph: (615) 205-2100 |
Tasha Ruffin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Circle Dr, Portland, TN 37148 Phone: 615-325-9263 | |
Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792 | |
Randy Tidwell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-323-1020 Fax: 615-323-1021 | |
Lisa Nazarenus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936 | |
Ms. Paula Claire Havelin, FNP, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 | |
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263 | |
Sherelen Hodges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 Fax: 615-802-1088 |