Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kennedy L Eldridge, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750061875

Kennedy L Eldridge, DNP, PMHNP-BC is a Psychiatry in Johnson City, Tennessee. Qualified in 2023, 3 years ago. Practices with Frontier Health, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 34383 (TN)

Record details

NPI number1750061875
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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