Provider Demographics
NPI:1962028043
Name:O'QUINN, KENDRA LAUREN (DNP, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:LAUREN
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:DNP, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MEDICAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-7346
Mailing Address - Country:US
Mailing Address - Phone:423-689-3020
Mailing Address - Fax:844-309-6361
Practice Address - Street 1:240 MEDICAL PARK BLVD STE 2500
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7347
Practice Address - Country:US
Practice Address - Phone:423-689-3004
Practice Address - Fax:844-309-6361
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27546363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner