JENNIFER KENNEDY APRN CPNP NPI 1043021629

NPI Information

  • NPI: 1043021629
  • Provider Name: JENNIFER KENNEDY, APRN CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 S DOUGLAS BLVD
    MIDWEST CITY, OK
    ZIP 73130
  • Phone: (405) 741-7722

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NPI Details

Jennifer Kennedy, APRN CPNP is a pediatrics nurse practitioner in Midwest City, OK. Jennifer Kennedy, APRN CPNP NPI is 1043021629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 S DOUGLAS BLVD
MIDWEST CITY, OK
ZIP 73130-224
Phone: (405) 741-7722

The NPI 1043021629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2025 and was last updated on 2/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WN0002XRegistered NurseNeonatal Intensive CareR0131654OKLAHOMANo
2363LP0200XNurse PractitionerPediatrics221867OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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