Provider Demographics
NPI:1982218459
Name:MAJOR, KENNA NICOLE (APRN)
Entity type:Individual
Prefix:MS
First Name:KENNA
Middle Name:NICOLE
Last Name:MAJOR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 WINFIELD DUNN PKWY
Mailing Address - Street 2:
Mailing Address - City:KODAK
Mailing Address - State:TN
Mailing Address - Zip Code:37764-4309
Mailing Address - Country:US
Mailing Address - Phone:865-213-7104
Mailing Address - Fax:865-213-7105
Practice Address - Street 1:2960 WINFIELD DUNN PKWY
Practice Address - Street 2:
Practice Address - City:KODAK
Practice Address - State:TN
Practice Address - Zip Code:37764-4309
Practice Address - Country:US
Practice Address - Phone:865-213-7104
Practice Address - Fax:865-213-7105
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27833163WE0003X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN8659637436Medicaid
TN27833OtherTENNESSEE BOARD OF NURSING APRN LICENSE NUMBER