Mrs Tiffany Leatrice Kennerly, RN - Registered Nurse in Chattanooga, TN

Mrs Tiffany Leatrice Kennerly, RN is a Registered Nurse based in Chattanooga, Tennessee. Mrs Tiffany Leatrice Kennerly is licensed to practice in Tennessee (license number 236782) and her current practice location is 1301 Riverfront Pkwy Ste 209, Chattanooga, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 634-3124.

NPI number for Mrs Tiffany Leatrice Kennerly is 1013799766 and her current mailing address is 57 Frost St, Decherd, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013799766.

Contact Information

Mrs Tiffany Leatrice Kennerly, RN
1301 Riverfront Pkwy Ste 209,
Chattanooga, TN 37402-3312
(423) 634-3124
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tiffany Leatrice Kennerly
GenderFemale
SpecialityRegistered Nurse
Location1301 Riverfront Pkwy Ste 209, Chattanooga, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013799766
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 10/17/2023

Medical Identifiers

Medical identifiers for Mrs Tiffany Leatrice Kennerly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013799766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 236782 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiffany Leatrice Kennerly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tiffany Leatrice Kennerly, RN
57 Frost St,
Decherd, TN 37324-2410

Ph: () -
Mrs Tiffany Leatrice Kennerly, RN
1301 Riverfront Pkwy Ste 209,
Chattanooga, TN 37402-3312

Ph: (423) 634-3124

Reviews and Comments


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