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MRS. KELLY ALEXANDRIA HARDEN DNSC FNP-BC NPI 1194723056


NPI Information

NPI: 1194723056
Provider Name: MRS. KELLY ALEXANDRIA HARDEN, DNSC, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
105 N MONROE ST
NEWBERN, TN
ZIP 38059
Phone: (731) 627-0734
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MRS. Kelly Alexandria Harden, DNSC, FNP-BC is a family nurse practitioner in Newbern, TN. MRS. Kelly Alexandria Harden, DNSC, FNP-BC NPI is 1194723056. 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:

105 N MONROE ST
NEWBERN, TN
ZIP 38059-214
Phone: (731) 627-0734
Fax: (731) 627-0736

The NPI 1194723056 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 7/13/2005 and was last updated on 1/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13902764MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
23902763MEDICAIDTENNESSEE
339027641MEDICARE PINTENNESSEE
4P26444MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.