Jessica Rene' Kennedy Valid NPI

Individual provider · Pediatric Nurse Practitioner · Perkins, OK

NPI

1952863078

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

87596 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2019-04-05

Last updated

2026-07-08