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General NPI Number Information
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NPI Number | 1962028043
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Entity Type | Individual
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Provider Name | KENDRA LAUREN O'QUINN DNP, RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 240 MEDICAL PARK BLVD STE 2500
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City | BRISTOL
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State | TN
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Zip | 37620-7347
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Country | US
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Telephone | 423-689-3004
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Fax | 844-309-6361
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Provider Business Mailing Address
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Address Line | 240 MEDICAL PARK BLVD
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City | BRISTOL
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State | TN
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Zip | 37620-7346
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Country | US
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Telephone | 423-689-3020
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Fax | 844-309-6361
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 27546
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License Number State | TN
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