Kenisha Harden, NURSE PRACTITIONER
NPI #1174296198 in Douglasville, Georgia
Provider Information
- NPI Number
- 1174296198
- Entity Type
- Individual
- Name
- Kenisha Harden, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jul 26, 2021
- Last Updated
- Jul 26, 2021
Practice Location
- Address
- 4591 BURNT FORK CIR
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-8954
- Phone
- (706) 373-8132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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