| NPI | 1952557522 |
|---|---|
| Former Name | JENNIFER STEPHANIE JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4011421) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 401142) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2023-08-01 |