Provider Demographics
NPI:1780156844
Name:HURST, KENDRA MICHELLE (APRN,FNP-C)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:MICHELLE
Last Name:HURST
Suffix:
Gender:
Credentials:APRN,FNP-C
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:MICHELLE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 211699
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-3699
Mailing Address - Country:US
Mailing Address - Phone:866-849-0692
Mailing Address - Fax:888-973-8821
Practice Address - Street 1:9850 VON ALLMEN CT STE 201
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2855
Practice Address - Country:US
Practice Address - Phone:866-849-0692
Practice Address - Fax:888-973-8821
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3-000545363LF0000X
AZ256018363LF0000X
HIAPRN-3205363LF0000X
FLAPRN11010992363LF0000X
IL277002257363LF0000X
OR202101757NP-PP363LF0000X
OH0029869363LF0000X
PANPPA055942363LF0000X
TX1030501363LF0000X
COC-APN.0002526-C-NP363LF0000X
MO2020042258363LF0000X
IN71010805A363LF0000X
TN28791363LF0000X
KY3012967363LF0000X
AR214853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily