Healthcare Provider Details

I. General information

NPI: 1902723935
Provider Name (Legal Business Name): ZOE MARIE KENNEDY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 20TH AVE N
NASHVILLE TN
37203-2131
US

IV. Provider business mailing address

128 SEQUOYAH LN
NASHVILLE TN
37221-4041
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-4655
  • Fax:
Mailing address:
  • Phone: 402-238-5904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number254674
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: