Provider Demographics
NPI:1710865142
Name:JETT, KENSINGTON BROOKE (FNP)
Entity type:Individual
Prefix:MRS
First Name:KENSINGTON
Middle Name:BROOKE
Last Name:JETT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KENSINGTON
Other - Middle Name:BROOKE
Other - Last Name:APPLEBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:859 E COUNTY ROAD 650 S
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-9647
Mailing Address - Country:US
Mailing Address - Phone:765-591-3574
Mailing Address - Fax:
Practice Address - Street 1:2525 W UNIVERSITY AVE STE 401
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3433
Practice Address - Country:US
Practice Address - Phone:260-076-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71017007A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily