Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendall M Mora, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154171684

Kendall M Mora, FNP-C is a Nurse Practitioner in Sharon, South Carolina. Qualified in 2024, 2 years ago. Practices with Broad River Wellness LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4027 Woodlawn St
Sharon, SC 29742-8779
Phone: (803) 658-5058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28568 (SC)

Record details

NPI number1154171684
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Broad River Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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