Provider Demographics
NPI:1215787197
Name:KENDRICK, JAMIE PERKINS (FNP-C)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:PERKINS
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-5251
Mailing Address - Country:US
Mailing Address - Phone:205-695-0450
Mailing Address - Fax:
Practice Address - Street 1:230 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:AL
Practice Address - Zip Code:35592-5251
Practice Address - Country:US
Practice Address - Phone:205-523-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906586363LF0000X
AL3-001740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily