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NPI Code Detail

MEDICARE: KENDRA POLIZZO FNP

MEDICARE: KENDRA POLIZZO FNP
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
1363L00000XNurse Practitioner1179187TX

General Provider Information

NPI Number : 1083456651
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA POLIZZO FNP
Provider Business Mailing Address
First Line : PO BOX 89
Second Line :
City : LINDSAY
State : TX
Zip : 76250-0089
Country : US
Telephone Number : 940-736-3630
Fax Number :
Provider Business Practice Location Address
First Line : 424 CHURCH ST STE 2600
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-2379
Country : US
Telephone Number : 877-564-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 12/04/2025

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Directions to “ KENDRA POLIZZO FNP” Practice Location

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