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Individual

CARRIE LYNN JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP08400
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2698826
OH
05
78017100
KY
Enumeration date
07/06/2006
Last updated
07/10/2017
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