Kenzie Jacques

NPI 1063307668 · on the registry since 2025 · sole proprietor

Practice

Address: 3333 E Broadway Ave Ste 1215
Bismarck, ND 58501
Phone: (701) 941-2992
Organisation at this address: Renewed Hope Therapy Pllc
Supportive Outreach Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota