Provider Demographics
NPI:1134927320
Name:HAMPTON, JHAKENDRA RAKIA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JHAKENDRA
Middle Name:RAKIA
Last Name:HAMPTON
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:KENDRA
Other - Middle Name:RAKIA
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP- BC
Mailing Address - Street 1:1313 WEEPING CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-5719
Mailing Address - Country:US
Mailing Address - Phone:334-482-3136
Mailing Address - Fax:
Practice Address - Street 1:1313 WEEPING CHERRY LN
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-5719
Practice Address - Country:US
Practice Address - Phone:334-482-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38368363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health