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

Kendra Keneisha Headley-Duncan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477346260

Kendra Keneisha Headley-Duncan is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025

Practice location Address checks out

1914 J N Pease Pl
Charlotte, NC 28262-4504
Phone: (704) 754-8718
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5023010 (NC)

Record details

NPI number1477346260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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