Provider Demographics
NPI:1629223052
Name:KENT, MICHELLE HENDRIX (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:HENDRIX
Last Name:KENT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:HENDRIX
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:3400 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1237
Mailing Address - Country:US
Mailing Address - Phone:615-867-6000
Mailing Address - Fax:615-225-6751
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1237
Practice Address - Country:US
Practice Address - Phone:615-867-6000
Practice Address - Fax:615-225-6751
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000126989163W00000X
TNAPN0000013615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse