Provider Demographics
NPI:1275039331
Name:KERNEA, FRANCES M
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:KERNEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:M
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:846 LONE OAK DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3784
Mailing Address - Country:US
Mailing Address - Phone:931-510-6925
Mailing Address - Fax:
Practice Address - Street 1:753 HUMBLE DR STE A
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4203
Practice Address - Country:US
Practice Address - Phone:931-783-2561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN103431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10343OtherCLINICAL SOCIAL WORKER