Provider Demographics
NPI:1780002972
Name:TODD, KENDRA LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:LYNN
Last Name:TODD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:LYNN
Other - Last Name:COGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 MIDWOOD ST
Mailing Address - Street 2:APT 2109
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6621
Mailing Address - Country:US
Mailing Address - Phone:615-336-1931
Mailing Address - Fax:
Practice Address - Street 1:1195 OLD HICKORY BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4239
Practice Address - Country:US
Practice Address - Phone:615-373-2000
Practice Address - Fax:615-891-5001
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily