Sophonie M Kernizan, RN
Nurse Practitioner, Psych/Mental Health in Southbridge, Massachusetts
1528974698- Practice location
- 29 Pine St, Southbridge, MA 01550-1823
- Phone
- 508-765-9167
- Fax
- 508-764-2462
- Last updated
- October 9, 2026
Sophonie M. Kernizan is a Nurse Practitioner, Psych/Mental Health based in Southbridge, MA. Sophonie M. Kernizan practices in Southbridge, MA and has the professional credentials of RN. The NPI Number for Sophonie M. Kernizan is 1528974698 and holds a License No. RN10002058 (MA). The current practice location address for Sophonie M. Kernizan is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-765-9167 and via fax at 508-764-2462.
Provider Profile Details
- NPI Number
- 1528974698
- Provider Name
- Sophonie M. Kernizan
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 29 Pine St, Southbridge, MA 01550-1823
- Phone Number
- 508-765-9167
- Fax Number
- 508-764-2462
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2026
- Last Update Date
- October 9, 2026
- Certification Date
- October 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Pine St
Southbridge, MA 01550-1823 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-1823
- Phone Number
- 508-765-9167
- Fax Number
- 508-764-2462
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
License Information
- License Number (1)
- RN10002058
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RN10002058
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse, Psych/Mental Health · 163WP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sophonie M Kernizan, RN?
The NPI number of Sophonie M Kernizan, RN is 1528974698. It was assigned on August 20, 2026 and is currently active in the NPPES registry.
What is the specialty of Sophonie M Kernizan, RN?
Sophonie M Kernizan, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN10002058.
Where does Sophonie M Kernizan, RN practice?
The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-765-9167 (phone) or 508-764-2462 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528974698 directly on the NPPES registry website.