MEDICARE: JESSICA KEMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023972510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA KEMP

Provider Business Mailing Address
First Line	:	4485 JACKSON RD
Second Line	:
City	:	WHITES CREEK
State	:	TN
Zip	:	37189-9201
Country	:	US
Telephone Number	:	859-230-0863
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 FRENCH LANDING DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37228-1511
Country	:	US
Telephone Number	:	615-259-9055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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