Provider Demographics
NPI:1104242601
Name:JOSEPH-RODGERS, KENDRA AISHA (RN, WHNP)
Entity type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:AISHA
Last Name:JOSEPH-RODGERS
Suffix:
Gender:F
Credentials:RN, WHNP
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:AISHA
Other - Last Name:RODGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4636 S CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125
Practice Address - Country:US
Practice Address - Phone:504-897-9200
Practice Address - Fax:404-494-7433
Is Sole Proprietor?:No
Enumeration Date:2014-03-09
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA155587163WW0101X
NY671713-1163WW0101X
NY421168363LW0102X
LA09276363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory