Provider Demographics
NPI:1346138476
Name:KENDRICK, JESSICA (PHD, RN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 WALLINGFORD RD APT 3
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-4706
Mailing Address - Country:US
Mailing Address - Phone:857-396-8071
Mailing Address - Fax:
Practice Address - Street 1:88 WALLINGFORD RD APT 3
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-4706
Practice Address - Country:US
Practice Address - Phone:857-396-8071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2307401163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development