Doctor Name: | MRS. ANITA JENNINGS |
NPI Number: | 1043610454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R39702 |
Business Practice Address: | 406 N. Alameda Carlsbad, NM - 88220 |
Business Phone Number: | 5752343320 |
Business Fax Number: | 5756284440 |
Mailing Address: | 406 N. Alameda, CARLSBAD |
State: | NM |
Postal Code: | 88220 |
Phone Number: | 5752343320 |
Fax Number: | 5756284440 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R39702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |