Mrs. Kennedy Ellen Eidenire

PMHNP | Nurse Practitioner - Psych/Mental Health

421 N Broadway, Portland
  Tennessee, 37148-1750
615-205-2100
May or may not accept Medicare Nurse Anesthetist in Portland, Tennessee.
Mrs. Kennedy Ellen Eidenire is a Portland, Tennessee based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mrs. Kennedy Ellen Eidenire is 38446 for Psych/Mental Health in Tennessee. Her current practice location is 421 N Broadway, Portland. Patients can reach her at 615-205-2100. Mrs. Kennedy Ellen Eidenire is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1477354793.
Mrs. Kennedy Ellen Eidenire provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Kennedy Ellen Eidenire speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mrs. Kennedy Ellen Eidenire
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: PMHNP
Practice Address:421 N Broadway, Portland,
Tennessee, 37148-1750
Phone:615-205-2100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1477354793
NPI Enumeration Date: 22 Mar, 2025
NPI Last Update On: 22 Mar, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kennedy Ellen Eidenire are as mentioned below.
License NumberSpecializationStateStatus
38446Psych/Mental Health TennesseePrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mrs. Kennedy Ellen Eidenire
410 College St,
Portland, Tennessee
Zip: 37148-2101
Phone Number: 678-410-6310
Patients can reach Mrs. Kennedy Ellen Eidenire at 421 N Broadway, Portland, Tennessee or can call to book an appointment on 615-205-2100.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.